Wyatt D Woodard
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
320 N Leroux St Ste B
Flagstaff
, Arizona 86001-4535
Wyatt D Woodard
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
320 N Leroux St Ste B
Flagstaff
, Arizona 86001-4535
(928) 779-7143
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Wyatt D Woodard
- 320 N Leroux St Ste B
- Flagstaff, AZ
- Zip : 86001-4535
- Fax : (928) 779-7143
- Phone : (928) 779-0361
Second Address
- Wyatt D Woodard
- 320 N Leroux St Ste B
- Flagstaff, AZ
- Zip : 86001-4535
- Fax : (928) 779-7143
- Phone : (928) 779-0361
Reviews
FAQs
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What type of doctor is Wyatt D Woodard
In what state does Wyatt D Woodard practice in?
Where is Wyatt D Woodard ’s practice located?
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Is Wyatt D Woodard a sole practitioner?
Is Wyatt D Woodard accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP1235 | AZ |
| N | 363LP2300X | Nurse Practitioner - Primary Care | AP1235 | AZ |
National Provider Identifier
| NPI | 1013911916 |
|---|---|
| Provider Name | Wyatt D Woodard |
| First Address | Flagstaff, AZ 86001-4535 |
| Second Address | Flagstaff, AZ 86001-4535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2005 |
| Last Update Date | 05/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P38087 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.