Individual
PATRICIA ANN WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
920 W IRONWOOD DR STE 200, COEUR D ALENE, ID 83814-2643
(208) 667-2600
Mailing address
920 W IRONWOOD DR STE 200, COEUR D ALENE, ID 83814-2643
(208) 667-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54168
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558032300
—
ID
Enumeration date
09/22/2021
Last updated
03/06/2024
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