MRS. MADETRIC NAFAYE WOOD APRN-BC GNP NPI 1073716650

NPI Information

NPI: 1073716650
Provider Name: MRS. MADETRIC NAFAYE WOOD, APRN-BC, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: GERIATRIC SOLUTIONS, LLC

PECOS Registration: Yes

Address:
5804 INDIAN PINES BLVD
FORT PIERCE, FL
ZIP 34951
Phone: (772) 828-3752
Get Directions

MRS. Madetric Nafaye Wood, APRN-BC, GNP is a gerontology nurse practitioner in Fort Pierce, FL with 18 years of experience. MRS. Madetric Nafaye Wood, APRN-BC, GNP NPI is 1073716650. 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:

5804 INDIAN PINES BLVD
FORT PIERCE, FL
ZIP 34951-302
Phone: (772) 828-3752
Fax: (772) 302-3518

The NPI 1073716650 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 6/9/2007 and was last updated on 4/27/2020.

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		RN9189379	FLORIDA	No
2	363LG0600X	Nurse Practitioner	Gerontology	ARNP9189379	FLORIDA	Yes

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
1	2078100	MEDICAID	FLORIDA
2	AF163Z	OTHER	FLORIDA	MEDICARE LEGACY NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »