Provider Demographics
NPI:1427894690
Name:ATWOOD, WESLEY JOHN (FNP-BC)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:JOHN
Last Name:ATWOOD
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:730 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1326
Mailing Address - Country:US
Mailing Address - Phone:518-813-3041
Mailing Address - Fax:856-547-1700
Practice Address - Street 1:671 NEWTOWN YARDLEY RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1716
Practice Address - Country:US
Practice Address - Phone:215-968-5800
Practice Address - Fax:215-968-5899
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY354674363L00000X
NJ26NJ15109800363LF0000X
PASP030337363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner