Individual
MS. LEANN DEVUN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA-MSNA
Contact information
Practice address
2495 SHEVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
6210 SARAH LYNNE DR, ALEXANDRIA, LA 71303-2096
(318) 308-3840
(318) 767-5344
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
056798-2906
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1690741
—
LA
Enumeration date
01/03/2007
Last updated
11/07/2023
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