Provider Demographics
NPI:1629314828
Name:WOODS, CAYCE A (NP)
Entity Type:Individual
Prefix:
First Name:CAYCE
Middle Name:A
Last Name:WOODS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CAYCE
Other - Middle Name:A
Other - Last Name:PLUNGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:22902 DALE AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1513
Mailing Address - Country:US
Mailing Address - Phone:586-404-6187
Mailing Address - Fax:
Practice Address - Street 1:888 W BIG BEAVER RD STE 900
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4771
Practice Address - Country:US
Practice Address - Phone:248-629-2880
Practice Address - Fax:248-319-6493
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704260967163W00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1629314828Medicaid