Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyatt Woodard MSN FNP PC

Organization Primary Care Nurse Practitioner · NPI 1720082621

Wyatt Woodard MSN FNP PC is a Primary Care Nurse Practitioner in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 N Leroux St Ste B
Flagstaff, AZ 86001-4535
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

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP1235 (AZ)

Record details

NPI number1720082621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wyatt Woodard — Owner · (928) 779-0361
NPI enumeratedJune 8, 2005
Last updated in NPPESJune 8, 2011
Mailing address320 N Leroux St, Ste B, Flagstaff, AZ 86001-4535

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