Woodard, Wyatt D

Woodard, Wyatt D is an sole proprietor health care provider with primary practice located at 320 N Leroux St Ste B, Flagstaff AZ 86001-4535. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Woodard, Wyatt D can be contacted via phone (928) 779-0361.

Contact Information

Primary practice address
320 N Leroux St Ste B Flagstaff AZ 86001-4535
Phone: (928) 779-0361
Fax: (928) 779-7143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP1235 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1235 Arizona

Profile Details

NPI number 1013911916
LBN Legal business name Woodard, Wyatt D
Credentials MSN, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2005
Last updated Sep 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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