Provider Demographics
NPI:1992312110
Name:WOODS - WARNER, DEBRA ANN
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:WOODS - WARNER
Suffix:
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:PO BOX 2635
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-2635
Mailing Address - Country:US
Mailing Address - Phone:304-704-7135
Mailing Address - Fax:
Practice Address - Street 1:369 COALTON PUMPKINTOWN RD
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:WV
Practice Address - Zip Code:26285-4539
Practice Address - Country:US
Practice Address - Phone:304-704-7135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant