Individual
ANGELA K WOOTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8600 UNIVERSITY BLVD, RM HP0091, EVANSVILLE, IN 47712-3534
(812) 465-1250
(812) 465-7170
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315362
BCBS PIN
IN
Enumeration date
06/01/2005
Last updated
07/08/2007
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