Individual
LADEIDRA NICOLE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
RN243005
GA
163WC0400X
Case Management Registered Nurse
Primary
RN243005
GA
163WM1400X
Nurse Massage Therapist (NMT)
MT013436
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN243005
GA
171400000X
Health & Wellness Coach
RN243005
GA
171M00000X
Case Manager/Care Coordinator
RN243005
GA
173C00000X
Reflexologist
RN243005
GA
174H00000X
Health Educator
RN243005
GA
202D00000X
Integrative Medicine Physician
RN243005
GA
Other
Enumeration date
10/30/2023
Last updated
03/31/2025
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