Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 084822-23 | NH |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | CNP161046 | ME |
NPI | 1245474931 |
---|---|
Provider Name | Mr. Christopher Wayne Woods |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2009 |
Last Update Date | 06/05/2021 |