Stephanie Wood, LM, CPM
Individual provider Active NPI Midwife · Frostproof, FL
NPI 1861155236 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1861155236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- MW418 (FL)
- Practice address
- 626 E 9TH St
Frostproof, FL 33843-2528 - Phone
- (904) 318-3502
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW418 | FL | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW418 | FL | Yes |
Addresses
Primary practice location
626 E 9TH St
Frostproof, FL 33843-2528
Mailing address
626 E 9TH St
Frostproof, FL 33843-2528
Phone (904) 318-3502
Other providers in Frostproof, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.