Provider Demographics
NPI:1982935136
Name:WOODS, SHARON L (CNA)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1346 MARGO LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-3053
Mailing Address - Country:US
Mailing Address - Phone:719-210-3961
Mailing Address - Fax:
Practice Address - Street 1:1346 MARGO LN
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-3053
Practice Address - Country:US
Practice Address - Phone:719-210-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO729447376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide