Individual
SARA MENDELOW WOOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
701 S NEW BALLAS RD STE 300, SAINT LOUIS, MO 63141-8725
(314) 251-5890
Mailing address
701 S NEW BALLAS RD STE 300, SAINT LOUIS, MO 63141-8725
(314) 251-5890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015021537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619359486
—
MO
01
—
P01628637
RAILROAD MEDICARE
MO
Enumeration date
06/29/2015
Last updated
08/22/2024
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