Individual
MS. SHAMARIA LATRICE WOOTEN-BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8661 N PORT WASHINGTON RD, FOX POINT, WI 53217-2209
(866) 389-2727
Mailing address
8661 N PORT WASHINGTON RD, FOX POINT, WI 53217-2209
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200549
WI
363LF0000X
Family Nurse Practitioner
Primary
14971
WI
Other
Enumeration date
12/15/2015
Last updated
09/11/2024
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