NPI Profile for LADEIDRA N WOOTEN in SNELLVILLE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
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 |
| NPI # | 1912770249 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 10/30/2023 | |
| Last updated | 03/31/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LADEIDRA N WOOTEN
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