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

Wyatt Woodard MSN FNP PLLC

Organization Nurse Practitioner · NPI 1578797122

Wyatt Woodard MSN FNP PLLC is a Nurse Practitioner 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
Phone: (928) 779-0361
Fax: (928) 779-7143
Show map & directions

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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