Healthcare Provider Details

I. General information

NPI: 1114931318
Provider Name (Legal Business Name): ELIZABETH ANN WOOD APRN, BC, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 LINCOLNTON RD
SALISBURY NC
28144-6277
US

IV. Provider business mailing address

PO BOX 2065
BRYSON CITY NC
28713-5065
US

V. Phone/Fax

Practice location:
  • Phone: 828-261-0467
  • Fax: 828-267-0599
Mailing address:
  • Phone: 828-449-8610
  • Fax: 828-538-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number102481
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: