Provider Demographics
NPI:1437195575
Name:WOOD, LINDY L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDY
Middle Name:L
Last Name:WOOD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:LINDY
Other - Middle Name:L
Other - Last Name:LARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 2190
Mailing Address - Street 2:3701 LOOP ROAD EAST BLDG 39
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35403-2190
Mailing Address - Country:US
Mailing Address - Phone:205-562-3700
Mailing Address - Fax:205-562-3769
Practice Address - Street 1:3701 LOOP RD EAST
Practice Address - Street 2:BLDG 39
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404
Practice Address - Country:US
Practice Address - Phone:205-562-3700
Practice Address - Fax:205-562-3769
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-096198163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-33843OtherBLUE CROSS BLUE SHIELD AL