Individual
EUSONNE JOY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
562 SABLE BLVD STE 100, AURORA, CO 80011-0809
(323) 290-2107
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 697-2583
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0997427-NP
CO
363LF0000X
Family Nurse Practitioner
95014838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000207108
—
CO
Enumeration date
06/21/2021
Last updated
08/15/2023
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