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NPI Code Detail

MEDICARE: EMILY NICOLE KIYOMI WOOD CRNA

MEDICARE: EMILY NICOLE KIYOMI WOOD CRNA
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCO

General Provider Information

NPI Number : 1700711033
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY NICOLE KIYOMI WOOD CRNA
Provider Business Mailing Address
First Line : PO BOX 840862
Second Line :
City : DALLAS
State : TX
Zip : 75284-0862
Country : US
Telephone Number : 303-377-7638
Fax Number : 303-780-0787
Provider Business Practice Location Address
First Line : 8000 E MAPLEWOOD AVE STE 120
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-4766
Country : US
Telephone Number : 303-438-3999
Fax Number : 720-439-9500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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