Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 26NJ00426900 | NJ |
NPI | 1043653678 |
---|---|
Provider Name | Mrs. Julia Hayward Wood |
First Address | New York, NY 10087-2581 |
Second Address | Morristown, NJ 07960-5307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2013 |
Last Update Date | 19/08/2021 |