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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WYATT D WOODARD, MSN, FNP

Active Sole Proprietor

Family Nurse Practitioner · FLAGSTAFF, AZ

Registration Details

NPI Number
1013911916
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2005 (20.904131482074 yrs)
Last Updated
Sep 5, 2019
Licenses
AP1235 (AZ)
AP1235 (AZ)
Sole Proprietor
Yes

Practice Information

Address
320 N LEROUX ST
STE B
FLAGSTAFF, AZ, 860014535
Browse AZ providers · Browse ZIP 86001
Phone
9287790361
Fax
9287797143
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FLAGSTAFF, AZ

Name Credential NPI
KAREN HOLDER FNPC 1831192913
MICHELE J INGE FNP 1558339259
CHRISTINE SAMUEL-NAKAMURA 1346208683
MS. JAYNE GINKUS PRATT ARNP-BC 1669495206
BRIDGET MARIE WICKS FNP 1194838284
MS. DENISE ANN GOMOLAK N.P. 1881705804
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.