Individual
LADEIDRA NICOLE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4250 ANTELOPE LN, SNELLVILLE, GA 30039-5694
(770) 778-1702
Mailing address
4250 ANTELOPE LN, SNELLVILLE, GA 30039-5694
(770) 778-1702
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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