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Vanicia Lynn Woody, RN

Registered Nurse in Detroit, MI. Individual provider (NPI-1).

NPI number1760106561
StatusActive
Last updated in NPPESSep 27, 2022

Details

NPI
1760106561
Entity type
Individual (NPI-1)
Name
Mrs. Vanicia Lynn Woody
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2022
Certification date
Sep 27, 2022
Last updated
Sep 27, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse4704174223MIYes

Practice location

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

Mailing address

4646 John R St
Detroit, MI 48201-1916

Phone 313-576-1000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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