Provider Demographics
NPI:1710980099
Name:WOODS, ANNA DENISE (RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:DENISE
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:MRS
Other - First Name:ANNA
Other - Middle Name:DENISE
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, FNP-C
Mailing Address - Street 1:605 MEDICAL CT STE 201
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5406
Mailing Address - Country:US
Mailing Address - Phone:979-830-1441
Mailing Address - Fax:979-830-1369
Practice Address - Street 1:605 MEDICAL CT STE 201
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5406
Practice Address - Country:US
Practice Address - Phone:979-830-1441
Practice Address - Fax:979-830-1369
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX525996163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX146957902Medicaid
TX146957902Medicaid
S82320Medicare UPIN