Individual
MS. CHRISTIE LEE WOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
101 TOWN AND COUNTRY LN STE 100, HAZARD, KY 41701-9524
(606) 439-1300
(606) 439-1400
Mailing address
509 MEMORIAL DR STE 2, MANCHESTER, KY 40962-6196
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1110112
KY
363L00000X
Nurse Practitioner
Primary
3007365
KY
363LF0000X
Family Nurse Practitioner
2011021519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100269430
—
KY
Enumeration date
07/16/2012
Last updated
10/02/2019
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