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Individual
EDEN MICHELLE WOOTEN
Active
Individual
EDEN MICHELLE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140670
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395126101
—
TX
05
—
395126102
—
TX
Enumeration date
02/25/2019
Last updated
11/01/2021
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