Provider Demographics
NPI:1508228446
Name:WOODS, RAPHAELLE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:RAPHAELLE
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25200 CHAGRIN BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5684
Mailing Address - Country:US
Mailing Address - Phone:216-383-2834
Mailing Address - Fax:216-383-2923
Practice Address - Street 1:25200 CHAGRIN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5684
Practice Address - Country:US
Practice Address - Phone:216-383-2834
Practice Address - Fax:216-383-2923
Is Sole Proprietor?:No
Enumeration Date:2016-03-21
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034025363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner