Doctor Name: | MR. PETER WOODS |
NPI Number: | 1346694353 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | CNP151195 |
Business Practice Address: | 730 Forrestal St Bldg 3775 Kingsville, TX - 783635112 |
Business Phone Number: | 3615166492 |
Business Fax Number: | 3615166905 |
Mailing Address: | 730 Forrestal St, Bldg 3775 KINGSVILLE |
State: | TX |
Postal Code: | 783635112 |
Phone Number: | 3615166492 |
Fax Number: | 3615166905 |
NPI Enumeration Date: | 04/15/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP151195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |