Wyatt Woodard MSN FNP PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP1235 Issued in AZ

Legal business name

WYATT WOODARD MSN FNP PLLC

Practice address

320 N. Leroux
Suite B
Flagstaff, AZ 86001-4535

Phone

(928) 779-0361

Fax

(928) 779-7143

NPI assigned

May 12, 2009

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wyatt D Woodard, MSN FNPNPI 1013911916

Title

Ceo

Phone

(928) 779-0361

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wyatt D Woodard, MSN, FNP

  • Family Nurse Practitioner
  • Flagstaff, AZ
  • NPI 1013911916
  NPD (past) Authorized official
• Walter Morley Taylor, MD

  • Family Medicine Physician
  • Flagstaff, AZ
  • NPI 1659380442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1578797122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N LEROUX ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014535",
            "telephone_number": "928-779-0361",
            "fax_number": "928-779-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N. LEROUX",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014535",
            "telephone_number": "928-779-0361",
            "fax_number": "928-779-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT WOODARD MSN FNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "WYATT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-779-0361",
        "authorized_official_credential": "MSN FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1235",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Michael Beccia Wrenn, MS, BCBA
• Sarah E. Wright, AU.D.
• Kristine Wullenweber
• Ryan Wurzell, MS, CCC-SLP
• Wyatt Woodard MSN FNP PC
• Angela J Wyatt, M.D.
• Alex Wyble, DC
• David Michael Yamanaka
• David Kiwan Yang, DMD
• Gregory Yarbrough, LPC

• Family Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.