Healthcare Provider Details

I. General information

NPI: 1497427363
Provider Name (Legal Business Name): MARIA DEL PILAR WOODS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA DEL PILAR ESPINEL

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 07/31/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 S PATRICK DR
PATRICK AFB FL
32925-3606
US

IV. Provider business mailing address

45TH MEDICAL GROUP 1381 SOUTH PATRICK DRIVE
PATRICK SFB FL
32925
US

V. Phone/Fax

Practice location:
  • Phone: 321-494-8334
  • Fax:
Mailing address:
  • Phone: 321-494-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA172986
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: