Individual
BRENDA M WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. C.HT
Contact information
Practice address
1922 TROSPER RD SW APT J203, TUMWATER, WA 98512-8129
(360) 489-2386
Mailing address
1922 TROSPER RD SW APT J203, TUMWATER, WA 98512-8129
(360) 489-2386
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
163W00000X
Registered Nurse
Primary
RN60431293
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60431293
WA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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