Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAKE M WOODS, DNP, APN, AGNP-C
ActiveMR. BLAKE M WOODS, DNP, APN, AGNP-C is a Primary Care Nurse Practitioner healthcare provider located in METROPOLIS, Illinois. NPI 1548665136 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · METROPOLIS, IL
Registration Details
- NPI Number
- 1548665136
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2014 (11.831237723269 yrs)
- Last Updated
- Dec 1, 2020
- Licenses
-
1102339 (KY)041336078 (IL)3009061 (KY)209012171 (IL)
Practice Information
- Address
-
1203 W 10TH STMETROPOLIS, IL, 629602433Browse IL providers · Browse ZIP 62960
- Phone
- 6185243795
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.