Individual
LAQUETTA WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 IVY LOOP, PHENIX CITY, AL 36867-7114
(334) 650-8565
Mailing address
26 IVY LOOP, PHENIX CITY, AL 36867-7114
(334) 650-8565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-187095
AL
163WH0200X
Home Health Registered Nurse
1-187095
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-187095
AL
Other
Enumeration date
07/18/2025
Last updated
03/10/2026
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