WYATT WOODARD MSN FNP PLLC

FLAGSTAFF, AZ
NPI1578797122
Entity TypeOrganization
Authorized ContactWYATT D WOODARD
CEO
928-779-0361
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP1235)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: AZ  AP1235)
Enumeration Date2009-05-12
Last Update Date2009-06-01
Business Address
WYATT WOODARD MSN FNP PLLC
320 N. LEROUX SUITE B
FLAGSTAFF, AZ 86001-4535
Phone number: 928-779-0361
Mailing Address
WYATT WOODARD MSN FNP PLLC
320 N LEROUX ST SUITE B
FLAGSTAFF, AZ 86001-4535
Phone number: 928-779-0361