Provider Demographics
NPI:1992541593
Name:WOODY, AMBER MARIE YEVETTE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE YEVETTE
Last Name:WOODY
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 1:9739 ARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2401
Mailing Address - Country:US
Mailing Address - Phone:513-557-9619
Mailing Address - Fax:
Practice Address - Street 1:9739 ARVIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2401
Practice Address - Country:US
Practice Address - Phone:513-557-9619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No251E00000XAgenciesHome Health
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist