Provider Demographics
NPI:1093713737
Name:WOOD, FRANCES ELIZABETH (CNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:WOOD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 MCAULEY PL
Mailing Address - Street 2:STE 220
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4733
Mailing Address - Country:US
Mailing Address - Phone:513-981-4684
Mailing Address - Fax:513-981-4346
Practice Address - Street 1:4760 E GALBRAITH RD
Practice Address - Street 2:STE 205
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6703
Practice Address - Country:US
Practice Address - Phone:513-985-0741
Practice Address - Fax:513-985-0748
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-07200363L00000X
KY3003914363L00000X
OHNP.254774363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00873400OtherRR MEDICARE
OH2393263Medicaid
OHP00912928OtherRAILROAD MEDICARE
KY2393262Medicaid
OH611300608062OtherCARESOURCE
KY0562618OtherMEDICARE
KY78010097Medicaid
OHP00912928OtherRAILROAD MEDICARE
OHWONP11942Medicare PIN
OHH376360Medicare PIN
OH2393263Medicaid
KY2393262Medicaid
KY78010097Medicaid
KY0369018Medicare PIN
KYP400020990Medicare PIN
KY0562618Medicare ID - Type UnspecifiedMEDICARE NUMBER
OHWONP11944Medicare PIN