Doctor Name: | MS. PITA A. WOOD |
NPI Number: | 1063692507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN025063 |
Business Practice Address: | 516 Nizhoni Blvd Gallup, NM - 873015748 |
Business Phone Number: | 5057221000 |
Business Fax Number: | 5057221396 |
Mailing Address: | 516 Nizhoni Blvd, GALLUP |
State: | NM |
Postal Code: | 873015748 |
Phone Number: | 5057221000 |
Fax Number: | 5057221396 |
NPI Enumeration Date: | 11/13/2007 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | RN025063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |