Provider Demographics
NPI:1568053411
Name:WOODS, ANGENE CLAUDANN (RN)
Entity Type:Individual
Prefix:
First Name:ANGENE
Middle Name:CLAUDANN
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 GIRARD LN APT 732
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7186
Mailing Address - Country:US
Mailing Address - Phone:919-395-1381
Mailing Address - Fax:
Practice Address - Street 1:4820 GIRARD LN APT 732
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-7186
Practice Address - Country:US
Practice Address - Phone:888-570-4646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC280833163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator