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NPI Code Detail

MEDICARE: TAYLOR NICOLE WOOD PA-C

MEDICARE: TAYLOR NICOLE WOOD PA-C
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
1363A00000XPhysician Assistant5601009822MI

General Provider Information

NPI Number : 1811529621
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR NICOLE WOOD PA-C
Provider Business Mailing Address
First Line : 7900 E UNION AVE STE 1100
Second Line :
City : DENVER
State : CO
Zip : 80237-2746
Country : US
Telephone Number : 855-984-5121
Fax Number :
Provider Business Practice Location Address
First Line : 7900 E UNION AVE STE 1100
Second Line :
City : DENVER
State : CO
Zip : 80237-2746
Country : US
Telephone Number : 855-984-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2020
Last Update Date : 08/09/2021

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Directions to “ TAYLOR NICOLE WOOD PA-C” Practice Location

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