Individual
AMY C WOOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135244
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915016513
—
MO
Enumeration date
08/30/2006
Last updated
03/17/2025
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