Provider Demographics
NPI:1881095990
Name:WOODS, JOAN A (RN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:A
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JOAN
Other - Middle Name:A
Other - Last Name:COPELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HEALTH EDUATOR
Mailing Address - Street 1:2333 5TH AVE APT 18G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1606
Mailing Address - Country:US
Mailing Address - Phone:212-283-3667
Mailing Address - Fax:212-283-3667
Practice Address - Street 1:2333 5TH AVE APT 18G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1606
Practice Address - Country:US
Practice Address - Phone:212-283-3667
Practice Address - Fax:212-283-3667
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24833-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse