Provider Demographics
NPI:1881923613
Name:WOODWARD, CHRISTOPHER JON (RNFA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:WOODWARD
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3727 SOUTHPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-8411
Mailing Address - Country:US
Mailing Address - Phone:775-882-8983
Mailing Address - Fax:
Practice Address - Street 1:343 ELM ST
Practice Address - Street 2:202
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4522
Practice Address - Country:US
Practice Address - Phone:775-323-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN31798163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant