WYATT WOODARD MSN FNP PC
NPI 1720082621
Nurse Practitioner - Primary Care in Flagstaff, AZ

Q: What is Wyatt Woodard Msn Fnp PC's NPI number?

The NPI number for Wyatt Woodard Msn Fnp PC is 1720082621. It was assigned to this organization in the NPPES registry on June 8, 2005.

Q: What is Wyatt Woodard Msn Fnp PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since June 08, 2005

320 N LEROUX ST, STE B, FLAGSTAFF, AZ 86001(928) 779-0361(928) 779-7143 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Wyatt Woodard Msn Fnp Pc NPPES

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

WYATT WOODARD MSN FNP PC (NPI 1720082621) is a healthcare organization registered as a primary care in Flagstaff, Arizona and active in the NPI registry since June 2005. The organization lists Wyatt D Woodard, Owner, as its authorized official.

NPPES Registry Identity

NPI1720082621

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameWYATT WOODARD MSN FNP PC

Location Address320 N LEROUX ST, STE BFlagstaff, AZ 86001-4535

Mailing Address320 N Leroux St, Ste BFlagstaff, AZ 86001-4535 · (928) 779-0361 · Fax (928) 779-7143

Phone(928) 779-0361

Fax(928) 779-7143

Organization SubpartNo

Authorized OfficialWyatt D WoodardOwner · (928) 779-0361

Enumeration DateJune 8, 2005

Last NPPES UpdateJune 8, 2011

✔ NPI 1720082621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · AP1235

320 N LEROUX ST, Flagstaff, AZ 86001

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Other Identifiers 1

Medicare ID-Type Unspecified83066AZ · Woodard Fam Prac Grp #

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc..Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYATT D WOODARD MSN, FNP

Nurse Practitioner (Family)

320 N LEROUX ST, STE B
FLAGSTAFF, AZ 86001

Coconino County (928) 779-0361

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 PC's NPI number?

The NPI number for Wyatt Woodard Msn Fnp PC is 1720082621. It was assigned to this organization in the NPPES registry on June 8, 2005.

Where is Wyatt Woodard Msn Fnp PC located?

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

What is Wyatt Woodard Msn Fnp PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Wyatt Woodard Msn Fnp PC accept?

Health plans from Antidote Health Plan of Arizona, Inc. list Wyatt Woodard Msn Fnp PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wyatt Woodard Msn Fnp PC was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.