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NPI Code Detail

MEDICARE: MONICA WOOD FNP

MEDICARE: MONICA WOOD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner20368SC
2363L00000XNurse Practitioner275379NC
3363L00000XNurse Practitioner294437AZ
4363LF0000XFamily Nurse Practitioner20368SC
5363LF0000XFamily Nurse Practitioner275379NC

General Provider Information

NPI Number : 1508241902
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA WOOD FNP
Provider Business Mailing Address
First Line : PO BOX 945395
Second Line :
City : ATLANTA
State : GA
Zip : 30394-5395
Country : US
Telephone Number : 888-280-9533
Fax Number : 919-873-9821
Provider Business Practice Location Address
First Line : 9250 N 3RD ST STE 2015
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-2404
Country : US
Telephone Number : 602-786-0030
Fax Number : 919-873-9821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 11/15/2023

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