Individual
HEIDI CRYSTAL WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
(337) 478-6020
(337) 475-8613
Mailing address
3236 KIRKMAN ST, LAKE CHARLES, LA 70601-8640
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN145746
LA
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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