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Individual
WYATT D WOODARD
Active
Individual
WYATT D WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1235
AZ
363LP2300X
Primary Care Nurse Practitioner
AP1235
AZ
Other
Enumeration date
06/08/2005
Last updated
09/05/2019
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