MEDICARE: RACHEL LYNN WOOD RN, CNM

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	367A00000X	Advanced Practice Midwife	APN.0999286-CNM	CO
2	163W00000X	Registered Nurse	RN000162458	TN
3	163W00000X	Registered Nurse	RN.1693313	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013154525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL LYNN WOOD RN, CNM

Provider Business Mailing Address
First Line	:	MADIGAN ARMY MEDICAL CTR
Second Line	:	FITZSIMMONS DRIVE
City	:	TACOMA
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-968-1406
Fax Number	:

Provider Business Practice Location Address
First Line	:	3480 CENTENNIAL BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4087
Country	:	US
Telephone Number	:	800-230-7526
Fax Number	:

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

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	01/09/2024

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