MS. MINNIE ELIZABETH WOOD NP NPI 1205021474

NPI Information

NPI: 1205021474
Provider Name: MS. MINNIE ELIZABETH WOOD, NP
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Individual

Specialization: Community Health

Organization: FIRST PERSON CARE CLINIC

PECOS Registration: Yes

Address:
1200 S 4TH ST STE 111
LAS VEGAS, NV
ZIP 89104
Phone: (702) 380-8118
Get Directions

MS. Minnie Elizabeth Wood, NP is a community health nurse practitioner in Las Vegas, NV with 17 years of experience. MS. Minnie Elizabeth Wood, NP NPI is 1205021474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 S 4TH ST STE 111
LAS VEGAS, NV
ZIP 89104-046
Phone: (702) 380-8118
Fax: (702) 380-2929

The NPI 1205021474 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 9/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		661205	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		17447	CALIFORNIA	No
3	363LC1500X	Nurse Practitioner	Community Health	APRN001647	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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