Individual
LESLY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 PRESIDENT AVE, FALL RIVER, MA 02720-5923
(508) 973-1690
(508) 973-1715
Mailing address
5 BRADY ST, WARREN, RI 02885-2022
(508) 264-5986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2303986
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN26303986
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110174364A
—
MA
Enumeration date
06/27/2021
Last updated
05/27/2025
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