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NPI Code Detail

MEDICARE: SHELAGH KATHRYN WOOD-GOUVEIA NP

MEDICARE:   SHELAGH KATHRYN WOOD-GOUVEIA  NP
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
1363LA2200XAdult Health Nurse Practitioner206090MA

General Provider Information

NPI Number : 1861825739
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELAGH KATHRYN WOOD-GOUVEIA NP
Provider Business Mailing Address
First Line : ORLANDO VA MEDICAL CENTER
Second Line : 13800 VETERANS WAY
City : ORLANDO
State : FL
Zip : 32827
Country : US
Telephone Number : 407-631-1000
Fax Number : 401-453-3049
Provider Business Practice Location Address
First Line : 1390 EAST BURLEIGH BLVD.
Second Line :
City : TAVARES
State : FL
Zip : 32778
Country : US
Telephone Number : 352-253-2900
Fax Number : 407-513-9232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2013
Last Update Date : 07/19/2018

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Directions to “ SHELAGH KATHRYN WOOD-GOUVEIA NP” Practice Location

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