Individual
ELLEN GRACE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4005
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 803-5601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029243
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
08/09/2021
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