person
Ladeidra Nicole Wooten, RN
Case Management Registered Nurse in Loganville, Georgia
NPI 1912770249

Ladeidra Nicole Wooten is a Case Management Registered Nurse based in Loganville, GA and is specialized in Case Management. Ladeidra Nicole Wooten practices in Loganville, GA and has the professional credentials of RN. The NPI Number for Ladeidra Nicole Wooten is 1912770249 and holds a License No. MT013436 (Georgia).

The current practice location address for Ladeidra Nicole Wooten is 412 Conyers Rd, Loganville, GA and can be reached out via phone at 770-778-1702.

Location: 412 Conyers Rd, Loganville, GA, 30052-2650
person
Provider Profile Details
NPI Number
1912770249
Provider Name
Ladeidra Nicole Wooten
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
412 Conyers Rd, Loganville, GA, 30052-2650
Phone Number
770-778-1702
Fax Number
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
412 Conyers Rd
City
State
Zip
30052-2650
Phone Number
770-778-1702
Fax Number
person
Provider Business Mailing Address Details
Address
412 Conyers Rd
City
State
Zip
30052-2650
Phone Number
770-778-1702
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
License No.
RN243005 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Nurse Massage Therapist (NMT)
Taxonomy
License No.
MT013436 (Georgia)
Definition
Definition to come...
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