Provider Demographics
NPI:1265247159
Name:WOODS, CAROLYN JOANN (BSN, RN)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:JOANN
Last Name:WOODS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15502 E 37TH TER S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-3627
Mailing Address - Country:US
Mailing Address - Phone:816-210-4694
Mailing Address - Fax:816-922-3342
Practice Address - Street 1:4801 E. LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128
Practice Address - Country:US
Practice Address - Phone:816-922-2641
Practice Address - Fax:816-922-3342
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008021545163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty