Individual
MS. ANITA MARIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
715 E 78TH ST, BLOOMINGTON, MN 55420-1397
(612) 873-8200
Mailing address
20900 INGERSOLL AVE N, FOREST LAKE, MN 55025-3604
(651) 231-8061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010007724
MN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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