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Individual
WYETHA S WOOD
Active
Individual
WYETHA S WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BC, MSN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2152P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505347
BLUE CROSS
—
05
—
78215209
—
KY
Enumeration date
08/12/2005
Last updated
04/30/2014
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