MEDICARE: FRANCES ELIZABETH WOOD C.N.P.

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	363L00000X	Nurse Practitioner	NP-07200	OH
2	363L00000X	Nurse Practitioner	3003914	KY
3	363LA2200X	Adult Health Nurse Practitioner	NP.254774	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00873400	OTHER	KY	RR MEDICARE
3	P00912928	OTHER	OH	RAILROAD MEDICARE
6	0562618	OTHER	KY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	611300608062	OTHER	OH	CARESOURCE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093713737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES ELIZABETH WOOD C.N.P.

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL
Second Line	:	STE 220
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4733
Country	:	US
Telephone Number	:	513-981-4684
Fax Number	:	513-981-4346

Provider Business Practice Location Address
First Line	:	4760 E GALBRAITH RD
Second Line	:	STE 205
City	:	CINCINNATI
State	:	OH
Zip	:	45236-6703
Country	:	US
Telephone Number	:	513-985-0741
Fax Number	:	513-985-0748

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/30/2016

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Directions to “ FRANCES ELIZABETH WOOD C.N.P.” Practice Location

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