Provider Demographics
NPI:1265561740
Name:WOOD, KAREN JO (APN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JO
Last Name:WOOD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6580 S MCCARRAN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6140
Mailing Address - Country:US
Mailing Address - Phone:775-432-1343
Mailing Address - Fax:775-324-0858
Practice Address - Street 1:6580 S MCCARRAN BLVD STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6140
Practice Address - Country:US
Practice Address - Phone:775-432-1343
Practice Address - Fax:775-324-0858
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN00205363LX0001X
NVRN10989363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVAPN00205OtherAPN NUMBER
NVRN10989OtherRN NUMBER