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MRS. STACI AVERY WOOD RN

Nursing Service Providers Registered Nurse Maternal Newborn

Provider NPI: 1073824660

Provider Information:
MRS. STACI AVERY WOOD RN
Gender: F
Sole Proprietor

Practice Location:
20 DURHAM ST  SOUTHPORT, NC 28461-9327 US
Tel: 910-305-1532  Fax: --

Business Mailing Address:
20 DURHAM ST  SOUTHPORT, NC 28461-9327 US
Tel: 910-305-1532  Fax: --

NPI Information:
NPI: 1073824660
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WM0102XNursing Service Providers
Registered Nurse
Maternal Newborn
NC188963
N163WN0002XNursing Service Providers
Registered Nurse
NC188963
N163WN0003XNursing Service Providers
Registered Nurse
NC188963

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WM0102X

Type:

Classification:



Definition:



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