Individual
ANGELA D. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
475 SHOPPERS DR, WINCHESTER, KY 40391-1380
(859) 744-5111
(859) 744-1177
Mailing address
475 SHOPPERS DR, WINCHESTER, KY 40391-1380
(859) 744-5111
(859) 744-1177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6400
GROUP MEDICARE #
KY
05
—
78006012
—
KY
05
—
78901261
—
KY
Enumeration date
05/25/2006
Last updated
06/02/2015
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