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Samuel Bryan Wood

Emergency Medical Services Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine

Corner Of Route N12 And N7
Fort Defiance , Arizona 86504

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Emergency Medical Services
  • Nurse Practitioner - Acute Care
  • Nurse Practitioner - Critical Care Medicine
  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

Corner Of Route N12 And N7 Fort Defiance , Arizona 86504

First Address

  • Samuel Bryan Wood
  • Po Box 649
  • Fort Defiance, AZ
  • Zip : 86504-0649
  • Phone :

Second Address

  • Samuel Bryan Wood
  • Corner Of Route N12 And N7
  • Fort Defiance, AZ
  • Zip : 86504
  • Phone : (928) 729-8600

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FAQs


Where did Samuel Bryan Wood attend graduate school?

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Where did Samuel Bryan Wood do his residency?

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Where did Samuel Bryan Wood do his fellowship?

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Is Samuel Bryan Wood board certified?

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What type of doctor is Samuel Bryan Wood

Nurse Practitioner - Family Medicine

In what state does Samuel Bryan Wood practice in?

Arizona

Where is Samuel Bryan Wood ’s practice located?

Corner Of Route N12 And N7 , Fort Defiance, Arizona, 86504

What is Samuel Bryan Wood ’s gender?

Male

Is Samuel Bryan Wood a sole practitioner?

No

Is Samuel Bryan Wood accepting new patients?

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What languages does Samuel Bryan Wood speak?

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Does Samuel Bryan Wood accept insurance?

Yes, Samuel Bryan Wood accepts insurance

Does Samuel Bryan Wood offers telemedicine?

Samuel Bryan Wood has not indicated if he offers telemedicine

What is Samuel Bryan Wood ’s professional license number?

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What is Samuel Bryan Wood ’s NPI number?

1154835197

Does Samuel Bryan Wood have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207PE0004X Emergency Medical Services 00000000000 VA
N 363LA2100X Nurse Practitioner - Acute Care 000000000000 VA
N 363LC0200X Nurse Practitioner - Critical Care Medicine 000000000000 VA
Y 363LF0000X Nurse Practitioner - Family Medicine APN.0997339-NP CO

National Provider Identifier

NPI 1154835197
Provider Name Samuel Bryan Wood
First Address Fort Defiance, AZ 86504-0649
Second Address Fort Defiance, AZ 86504
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/11/2017
Last Update Date 28/10/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00000000000 (05) VA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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