Individual
EVAN WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
356 HUMMINGBIRD LN, PRINCETON, LA 71067-9148
(318) 401-1848
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
241279
LA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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