MS. MICHAELINE E WOOD FNP NPI 1023036456

NPI Information

  • NPI: 1023036456
  • Provider Name: MS. MICHAELINE E WOOD, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4710 N HABANA AVE STE 107
    TAMPA, FL
    ZIP 33614
  • Phone: (813) 910-0030

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NPI Details

MS. Michaeline E Wood, FNP is a family nurse practitioner in Tampa, FL with 25 years of experience. MS. Michaeline E Wood, FNP NPI is 1023036456. 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:

4710 N HABANA AVE STE 107
TAMPA, FL
ZIP 33614-143
Phone: (813) 910-0030

The NPI 1023036456 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 7/17/2006 and was last updated on 12/20/2023.

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
1363LF0000XNurse PractitionerFamily126546MISSOURINo
2363LF0000XNurse PractitionerFamilyAPRN11021590FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1425139912MEDICAIDMISSOURI
2119709400MEDICAIDFLORIDA

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: 3/30/2025

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