WYETHA S WOOD ARNP BC MSN NPI 1790787315

NPI Information

  • NPI: 1790787315
  • Provider Name: WYETHA S WOOD, ARNP, BC, MSN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 310 HAWTHORNE ST
    PRINCETON, KY
    ZIP 42445
  • Phone: (270) 365-0227

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NPI Details

Wyetha S Wood, ARNP, BC, MSN is a family nurse practitioner in Princeton, KY. Wyetha S Wood, ARNP, BC, MSN NPI is 1790787315. 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:

310 HAWTHORNE ST
PRINCETON, KY
ZIP 42445-622
Phone: (270) 365-0227
Fax: (270) 365-2559

The enumeration date for this NPI number is 8/12/2005 and was last updated on 4/30/2014.

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 PractitionerFamily2152PKENTUCKYYes

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
100193002MEDICARE PINKENTUCKY
278215209MEDICAIDKENTUCKY
3000000505347OTHERBLUE CROSS
4K128960MEDICARE PINKENTUCKY
5S78417MEDICARE UPIN
61276107MEDICARE PINKENTUCKY
70727901MEDICARE PINKENTUCKY

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: 11/21/2025

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