Individual
STACEY LYNN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-C
Contact information
Practice address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
Mailing address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79878-011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-79878-011
KS STATE BOARD OF NURSING
KS
Enumeration date
03/16/2021
Last updated
09/03/2025
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