Provider Demographics
NPI:1386353589
Name:WOODS MAIGNAN, TONI SR
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:WOODS MAIGNAN
Suffix:SR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 LONG WAY
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-8744
Mailing Address - Country:US
Mailing Address - Phone:917-359-3436
Mailing Address - Fax:
Practice Address - Street 1:422 HECKEWELDER PL
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5889
Practice Address - Country:US
Practice Address - Phone:610-868-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA080468521163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool