Wooten, Daphney G
Wooten, Daphney G is an individual health care provider with primary practice located at 3111 S 70Th St , Fort Smith AR 72903-5017. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wooten, Daphney G can be contacted via phone (479) 452-6650.Contact Information
Primary practice address
3111 S 70Th St
Fort Smith AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 452-5847
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | L46953 | Arkansas |
Profile Details
NPI number | 1033496237 |
---|---|
LBN Legal business name | Wooten, Daphney G |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2011 |
Last updated | May 20th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033496237 | NPPES |
Arkansas | MEDICAID | 189563795 |
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