Wooten, Ladeidra Nicole

Wooten, Ladeidra Nicole is an individual health care provider with primary practice located at 412 Conyers Rd , Loganville GA 30052-2650. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Nurse Massage Therapist (NMT), Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. Wooten, Ladeidra Nicole can be contacted via phone (770) 778-1702.

Contact Information

Primary practice address
412 Conyers Rd Loganville GA 30052-2650
Phone: (770) 778-1702
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nurse Massage Therapist (NMT) 163WM1400X MT013436 Georgia
Nursing Service Providers / Case Management 163WC0400X RN243005 Georgia

Profile Details

NPI number 1912770249
LBN Legal business name Wooten, Ladeidra Nicole
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2023
Last updated Oct 30th, 2023 - about last year

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.

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