Individual
SANDRA KAY OOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6475 FARMDALE RD, BARBOURSVILLE, WV 25504-1321
(304) 733-6333
(304) 733-6388
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 399-4405
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23475
WV
363LF0000X
Family Nurse Practitioner
NP 15828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092849
—
OH
05
—
0166837000
—
WV
05
—
78004751
—
KY
Enumeration date
05/02/2006
Last updated
04/22/2021
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