Provider Demographics
NPI:1245305259
Name:WOOD, SYLVIA HAZEL (ARNP CNM)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:HAZEL
Last Name:WOOD
Suffix:
Gender:F
Credentials:ARNP CNM
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:HAZEL
Other - Last Name:HIGGENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP CNM
Mailing Address - Street 1:6002 N WESTGATE BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2570
Mailing Address - Country:US
Mailing Address - Phone:253-761-2244
Mailing Address - Fax:253-761-1040
Practice Address - Street 1:6002 N WESTGATE BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2570
Practice Address - Country:US
Practice Address - Phone:253-761-2244
Practice Address - Fax:253-761-1040
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00112213163W00000X
WAAP30003082363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0270546OtherL&I
WAG8895827OtherMEDICARE
WAAP30003082OtherPROFESSIONAL LICENSE
WARN00112213OtherPROFESSIONAL LICENSE