Provider Demographics
NPI:1871852178
Name:WOOD, MARGARET A (MSN, CNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:WOOD
Suffix:
Gender:F
Credentials:MSN, CNP, PMHNP-BC
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 910
Mailing Address - Street 2:
Mailing Address - City:TULAROSA
Mailing Address - State:NM
Mailing Address - Zip Code:88352-0910
Mailing Address - Country:US
Mailing Address - Phone:575-585-2520
Mailing Address - Fax:575-815-7071
Practice Address - Street 1:1909 CUBA AVE STE 1
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-5646
Practice Address - Country:US
Practice Address - Phone:575-415-4402
Practice Address - Fax:575-815-7071
Is Sole Proprietor?:No
Enumeration Date:2012-05-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR61919163WP0808X
NMCNP-02311363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM55825079Medicaid