Individual
OLGA G WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
207 MURRAY DR, NEWPORT, TN 37821-3631
(423) 623-1057
(423) 625-8620
Mailing address
207 MURRAY DR, NEWPORT, TN 37821-3631
(423) 623-1057
(423) 625-8620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN45134
TN
363L00000X
Nurse Practitioner
Primary
APN5422
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000028162
PHP TENNCARE
TN
05
—
3346338
—
TN
01
—
4039232
BCBST
TN
01
—
4039236
BCBST
TN
01
—
4039237
BCBST
TN
01
—
4039239
BCBST/BLUECARE TENNCARE
TN
Enumeration date
02/02/2006
Last updated
01/18/2011
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