National Provider Identifier Database

LADEIDRA N WOOTEN, RN – NPI #1912770249
Case Management

Contact Information

LADEIDRA N WOOTEN, RN
4250 ANTELOPE LN
SNELLVILLE, GA  30039-5694
Phone: 770-778-1702
Fax:
Website:
Specialty Taxonomy Code
* Case Management 163WC0400X
Case Manager/Care Coordinator 171M00000X
Health & Wellness Coach 171400000X
Health Educator 174H00000X
Integrative Medicine 202D00000X
Nurse Massage Therapist (NMT) 163WM1400X
Pastoral 101YP1600X
Psychiatric/Mental Health 163WP0808X
Reflexologist 173C00000X

* Indicates primary specialty

NPI Profile & details for LADEIDRA N WOOTEN

NPI Number 1912770249
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/30/2023
Last updated 03/31/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • GA License #: MT013436
  • GA License #: RN243005
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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