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Individual

BREANNA WOOTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4258 HIGHWAY 231 STE 5, LACEYS SPRING, AL 35754-6444
(256) 498-6500
Mailing address
157 SILVER STRAND TRL, HUNTSVILLE, AL 35806-4710
(256) 468-6045

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-160877
AL

Other

Enumeration date
05/24/2023
Last updated
05/24/2023
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