Mrs Staci Avery Wood, RN is a
Registered Nurse - Maternal Newborn based in Southport, North Carolina. Mrs Staci Avery Wood is licensed to practice in North Carolina (license number 188963) and her current practice location is
20 Durham St, Southport, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 305-1532.
NPI number for Mrs Staci Avery Wood is 1073824660 and her current mailing address is 20 Durham St, Southport, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073824660.
Provider's Profile
Full Name | Mrs Staci Avery Wood |
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Gender | Female |
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Speciality | Registered Nurse - Maternal Newborn |
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Location | 20 Durham St, Southport, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073824660
- Provider Enumeration Date: 06/29/2010
- Last Update Date: 06/29/2010
Medical Identifiers
Medical identifiers for Mrs Staci Avery Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073824660 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0102X | Registered Nurse - Maternal Newborn | 188963 (North Carolina) | Primary |
163WN0002X | Registered Nurse - Neonatal Intensive Care | 188963 (North Carolina) | Secondary |
163WN0003X | Registered Nurse - Neonatal, Low-risk | 188963 (North Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Staci Avery Wood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Staci Avery Wood, RN 20 Durham St, Southport, NC 28461-9327 Ph: (910) 305-1532 | Mrs Staci Avery Wood, RN 20 Durham St, Southport, NC 28461-9327 Ph: (910) 305-1532 |
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