Individual
ALEXIS MICHELE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3030 W SYLVANIA AVE, STE 103, TOLEDO, OH 43613-4100
(419) 593-0050
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 539-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.15151-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098364
—
OH
Enumeration date
01/20/2014
Last updated
05/08/2023
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