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Individual

MRS. MADETRIC NAFAYE WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC, GNP

Contact information

Practice address
5804 INDIAN PINES BLVD, FORT PIERCE, FL 34951-2302
(772) 828-3752
(772) 302-3518
Mailing address
5804 INDIAN PINES BLVD, FORT PIERCE, FL 34951-2302
(772) 828-3752
(772) 302-3518

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9189379
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9189379
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2078100
FL
01
AF163Z
MEDICARE LEGACY NUMBER
FL
Enumeration date
06/09/2007
Last updated
09/29/2022
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