Provider Demographics
NPI:1699919076
Name:WOOD, TRINLIE (CPM)
Entity type:Individual
Prefix:
First Name:TRINLIE
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:VA
Mailing Address - Zip Code:22727-3055
Mailing Address - Country:US
Mailing Address - Phone:540-948-6858
Mailing Address - Fax:540-923-4715
Practice Address - Street 1:110 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:VA
Practice Address - Zip Code:22727-3055
Practice Address - Country:US
Practice Address - Phone:540-948-6858
Practice Address - Fax:540-923-4715
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000007176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife