Wood, Madetric Nafaye

Wood, Madetric Nafaye is an sole proprietor health care provider with primary practice located at 5804 Indian Pines Blvd , Fort Pierce FL 34951-2302. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Wood, Madetric Nafaye can be contacted via phone (772) 828-3752.

Contact Information

Primary practice address
5804 Indian Pines Blvd Fort Pierce FL 34951-2302
Phone: (772) 828-3752
Fax: (772) 302-3518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9189379 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9189379 Florida

Profile Details

NPI number 1073716650
LBN Legal business name Wood, Madetric Nafaye
Credentials APRN-BC, GNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2007
Last updated Sep 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073716650 NPPES
Florida MEDICAID 2078100
Florida Other AF163Z

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