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WYATT WOODARD MSN FNP PLLC
NPI 1578797122
Nurse Practitioner - Family in Flagstaff, AZ

Active since May 12, 2009
320 N. LEROUX, SUITE B, FLAGSTAFF, AZ 86001(928) 779-0361(928) 779-7143 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wyatt Woodard Msn Fnp Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYATT WOODARD MSN FNP PLLC (NPI 1578797122) is a healthcare organization registered as a family in Flagstaff, Arizona and active in the NPI registry since May 2009. The organization lists Wyatt D Woodard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578797122
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWYATT WOODARD MSN FNP PLLC
Location Address320 N. LEROUX, SUITE BFlagstaff, AZ 86001-4535
Mailing Address320 N Leroux St, Suite BFlagstaff, AZ 86001-4535 · (928) 779-0361 · Fax (928) 779-7143
Phone(928) 779-0361
Fax(928) 779-7143
Organization SubpartNo
Authorized OfficialWyatt D WoodardCeo · (928) 779-0361
Enumeration DateMay 12, 2009
Last NPPES UpdateJune 1, 2009
✔ NPI 1578797122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP1235
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP1235 (AZ)
320 N. LEROUX, Flagstaff, AZ 86001
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Other Identifiers 1

Medicare PINZ83066AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Woodard Msn Fnp PLLC's NPI number?

The NPI number for Wyatt Woodard Msn Fnp PLLC is 1578797122. It was assigned to this organization in the NPPES registry on May 12, 2009.

Where is Wyatt Woodard Msn Fnp PLLC located?

Wyatt Woodard Msn Fnp PLLC is located at 320 N. Leroux Suite B, Flagstaff, AZ 86001. The listed phone number is (928) 779-0361.

What is Wyatt Woodard Msn Fnp PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wyatt Woodard Msn Fnp PLLC was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.