Phyllis M Woodson in Norfolk - Dietitian, Registered

Phyllis M Woodson - NPI 1790753382

Phyllis M Woodson is a Dietitian, Registered in Norfolk, Virginia. Phyllis M Woodson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Phyllis M Woodson is 1790753382. The last update date is 2010-08-05.

Phyllis M Woodson's current location address is Po Box 936, Norfolk, Virginia. You can contact this provider via phone number 7574465908 and fax number 7574467055. The mailing address for Phyllis M Woodson is Po Box 936, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyllis M Woodson
Address Po Box 936, Norfolk, Virginia
Phone Number 7574465908
Fax Number 7574467055
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1790753382
Provider Enumeration Date 2006-03-09
Last Updated Date 2010-08-05

Provider Mailing Address Detail

Address Po Box 936
City Norfolk
State Virginia (VA)
Post Code 235010936
Phone Number 7574465908
Fax Number 7574467055

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No R37612-2
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2116995 VA UHC/MAMSI
PAR VA VIRGINIA PREMIER HEALTH
PAR VA CORVEL/CORCARE
1790753382 VA --
PAR VA MUTLIPLAN
PAR VA AETNA
-33 VA TRICARE/CHAMPUS

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FAQs about Phyllis M Woodson

What is the unique 10-digit identifier code assigned to Phyllis M Woodson by the Centers for Medicare & Medicaid Services?

The Phyllis M Woodson has been issued the NPI (National Provider Identifier) 1790753382 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Phyllis M Woodson is located?

The Phyllis M Woodson is situated at the following address: Po Box 936, Norfolk, VA, 235010936.

What is the Phyllis M Woodson's specialty and taxonomy code?

The Phyllis M Woodson's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did Phyllis M Woodson receive its 1790753382 assignment from the Centers for Medicare & Medicaid Services?

The Phyllis M Woodson was assigned its 1790753382 on 2006-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Phyllis M Woodson's information last updated?

The Phyllis M Woodson's information was last updated on 2010-08-05.

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