Provider Demographics
NPI:1649907650
Name:WOOD, DARCY GRACE
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:GRACE
Last Name:WOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 S SARANAC AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85208-2634
Mailing Address - Country:US
Mailing Address - Phone:480-265-0879
Mailing Address - Fax:
Practice Address - Street 1:824 S SARANAC AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-2634
Practice Address - Country:US
Practice Address - Phone:480-265-0879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator