Provider Demographics
NPI:1134843014
Name:WOODS-CRAYTON, ALICIA (MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:WOODS-CRAYTON
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 830001
Mailing Address - Street 2:
Mailing Address - City:TUSKEGEE
Mailing Address - State:AL
Mailing Address - Zip Code:36083-0001
Mailing Address - Country:US
Mailing Address - Phone:334-401-0291
Mailing Address - Fax:
Practice Address - Street 1:2908 KIMBERLY AVE
Practice Address - Street 2:
Practice Address - City:TUSKEGEE
Practice Address - State:AL
Practice Address - Zip Code:36083-4824
Practice Address - Country:US
Practice Address - Phone:334-401-0291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-177897163WA2000X, 163WD1100X, 163WM0705X, 163WX0800X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic