Provider Demographics
NPI:1043076086
Name:WOODS, HEATHER NOELLE (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:NOELLE
Last Name:WOODS
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN, RN, IBCLC
Mailing Address - Street 1:635 SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2005
Mailing Address - Country:US
Mailing Address - Phone:540-449-6936
Mailing Address - Fax:
Practice Address - Street 1:805 DAVIS ST
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-7013
Practice Address - Country:US
Practice Address - Phone:540-585-1985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL306771174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN