Individual
STEPHANIE WALTERS WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 747-4713
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
279311
NC
363LP0200X
Pediatric Nurse Practitioner
5015276
NC
Other
Enumeration date
04/06/2020
Last updated
11/06/2025
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