Provider Demographics
NPI:1174386320
Name:WOODS, ANASTASIA (CNM)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HILLVIEW DR APT 312
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5121
Mailing Address - Country:US
Mailing Address - Phone:504-777-6092
Mailing Address - Fax:
Practice Address - Street 1:2831 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-4713
Practice Address - Country:US
Practice Address - Phone:412-321-6880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN266127163WS0200X
PAMW010817367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
No163WS0200XNursing Service ProvidersRegistered NurseSchool