MEDICARE: MRS. LAURA NICOLE WOOD ARNP

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
1	363LF0000X	Family Nurse Practitioner	APRN11023999	FL

General Provider Information

NPI Number	:	1629767421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA NICOLE WOOD ARNP

Provider Business Mailing Address
First Line	:	2520 31ST AVE NE
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-0435
Country	:	US
Telephone Number	:	239-352-8962
Fax Number	:

Provider Business Practice Location Address
First Line	:	14090 METROPOLIS AVE STE 102
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4451
Country	:	US
Telephone Number	:	239-789-2184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	07/16/2024

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