Healthcare Provider Details

I. General information

NPI: 1427940527
Provider Name (Legal Business Name): ALYEA WOOD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

774 CHRISTIANA RD STE 202
NEWARK DE
19713-4221
US

IV. Provider business mailing address

774 CHRISTIANA RD STE 202
NEWARK DE
19713-4221
US

V. Phone/Fax

Practice location:
  • Phone: 302-366-7671
  • Fax:
Mailing address:
  • Phone: 302-366-7671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0012296
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: