WYETHA S WOOD ARNP, BC, MSN
NPI 1790787315
Nurse Practitioner - Family in Princeton, KY

Active since August 12, 2005
310 HAWTHORNE ST, PRINCETON, KY 42445(270) 365-0227(270) 365-2559 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wyetha S Wood Arnp, Bc, Msn NPPES

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

WYETHA S WOOD ARNP, BC, MSN (NPI 1790787315) is an individual family provider in Princeton, Kentucky, licensed in Kentucky (2152P) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1790787315
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWYETHA S WOODCredential: ARNP, BC, MSN
Location Address310 HAWTHORNE STPrinceton, KY 42445-1622
Mailing AddressPo Box 4156Hopkinsville, KY 42241-4156 · (270) 886-2205 · Fax (270) 886-0392
Fax(270) 365-2559
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateApril 30, 2014
NPI 1790787315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 2152P
310 HAWTHORNE ST, Princeton, KY 42445

Other Identifiers 7

Medicare PIN00193002KY
Medicaid78215209KY
Other000000505347Blue Cross
Medicare PINK128960KY
Medicare UPINS78417
Medicare PIN1276107KY
Medicare PIN0727901KY

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
310 HAWTHORNE ST
PRINCETON, KY 42445
Nurse Practitioner (Family)
310 HAWTHORNE ST
PRINCETON, KY 42445
Clinic/Center (Federally Qualified Health Center (FQHC))
310 HAWTHORNE ST
PRINCETON, KY 42445
Nurse Practitioner (Family)
310 HAWTHORNE ST
PRINCETON, KY 42445

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 Wyetha Wood's NPI number?

The NPI number for Wyetha Wood is 1790787315. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Wyetha Wood located?

Wyetha Wood practices at 310 Hawthorne St, Princeton, KY 42445. The listed phone number is (270) 365-0227.

What is Wyetha Wood'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 Wyetha Wood was last updated on April 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.