Provider Demographics
NPI:1891771929
Name:WOODS, ARLENE A (RN, BC, FNP)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:A
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN, BC, FNP
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:A
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:ONE MADRONE ST
Mailing Address - Street 2:
Mailing Address - City:WILLITS
Mailing Address - State:CA
Mailing Address - Zip Code:95490
Mailing Address - Country:US
Mailing Address - Phone:707-459-6801
Mailing Address - Fax:
Practice Address - Street 1:ONE MADRONE ST
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490
Practice Address - Country:US
Practice Address - Phone:707-459-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA829386163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse