Healthcare Provider Details

I. General information

NPI: 1518899681
Provider Name (Legal Business Name): DAWN CECIL WOOD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 MAPLE DR
BERTHOUD CO
80513-1049
US

IV. Provider business mailing address

1408 MAPLE DR
BERTHOUD CO
80513-1049
US

V. Phone/Fax

Practice location:
  • Phone: 970-481-9010
  • Fax:
Mailing address:
  • Phone: 970-481-9010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1001944-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: