Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wyatt Woodard MSN FNP PLLC

Organization Nurse Practitioner · NPI 1578797122

Wyatt Woodard MSN FNP PLLC provides Nurse Practitioner services in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 N Leroux Ste B
Flagstaff, AZ 86001-4535 Not confirmed with CMS for 17 years — call before visiting
Phone: (928) 779-0361
Fax: (928) 779-7143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP1235 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP1235 (AZ)

Record details

NPI number1578797122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wyatt Woodard — Ceo · (928) 779-0361
NPI enumeratedMay 12, 2009
Last updated in NPPESJune 1, 2009
Mailing address320 N Leroux St, Suite B, Flagstaff, AZ 86001-4535

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