Individual
MRS. AMANDA PAIGE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
29 PLANTATION PARK DR STE 203, BLUFFTON, SC 29910-9008
(854) 235-2830
Mailing address
4 FEREBEE CT, BLUFFTON, SC 29910-6569
(336) 608-7522
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
27192
SC
363LG0600X
Gerontology Nurse Practitioner
27192
SC
Other
Enumeration date
03/22/2023
Last updated
03/09/2026
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