Provider Demographics
NPI:1114931318
Name:WOOD, ELIZABETH ANN (APRN, BC, NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:WOOD
Suffix:
Gender:F
Credentials:APRN, BC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2065
Mailing Address - Street 2:
Mailing Address - City:BRYSON CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28713-5065
Mailing Address - Country:US
Mailing Address - Phone:828-449-8610
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:1035 LINCOLNTON RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-6277
Practice Address - Country:US
Practice Address - Phone:828-261-0467
Practice Address - Fax:828-267-0599
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891269VMedicaid
NC2592558Medicare ID - Type UnspecifiedPERFORMING PROVIDER NUMBE
NC891269VMedicaid