MEDICARE: ANNA MARIE WOOD PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4051386	KY

General Provider Information

NPI Number	:	1588514095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIE WOOD PMHNP

Provider Business Mailing Address
First Line	:	1 LOUIE B NUNN DR
Second Line	:
City	:	NEWPORT
State	:	KY
Zip	:	41099-9993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LOUIE B NUNN DR
Second Line	:
City	:	NEWPORT
State	:	KY
Zip	:	41099-9993
Country	:	US
Telephone Number	:	859-572-5220
Fax Number	:

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

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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