Provider Demographics
NPI:1669936373
Name:WOODS, TANYA LAVONNE (RN)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:LAVONNE
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SPINDRIFT CT APT 6
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7853
Mailing Address - Country:US
Mailing Address - Phone:716-997-3364
Mailing Address - Fax:
Practice Address - Street 1:10 SPINDRIFT CT APT 6
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7853
Practice Address - Country:US
Practice Address - Phone:716-997-3364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-27
Last Update Date:2019-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY546338-1163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator