Individual
MELISSA WOOD
Active
Individual
MELISSA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0991112
CO
363LF0000X
Family Nurse Practitioner
Primary
2017036846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24824372
—
CO
01
—
482258YRAQ
MEDICARE PTAN
CO
Enumeration date
04/14/2014
Last updated
12/13/2023
Update your record
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