Ladeidra Nicole Wooten, RN in Loganville, GA

Ladeidra Nicole Wooten, RN is a Registered Nurse - Case Management based in Loganville, Georgia. Ladeidra Nicole Wooten is licensed to practice in Georgia (license number RN243005) and her current practice location is 412 Conyers Rd, Loganville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 778-1702.

NPI number for Ladeidra Nicole Wooten is 1912770249 and her current mailing address is 412 Conyers Rd, Loganville, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912770249.

Contact Information

	Ladeidra Nicole Wooten, RN
	412 Conyers Rd, Loganville, GA 30052-2650
	(770) 778-1702
	Not Available

Map and Direction

Provider's Profile

Full Name	Ladeidra Nicole Wooten
Gender	Female
Speciality	Registered Nurse - Case Management
Location	412 Conyers Rd, Loganville, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1912770249
Provider Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023

Medical Identifiers

Medical identifiers for Ladeidra Nicole Wooten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912770249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM1400X	Registered Nurse - Nurse Massage Therapist (nmt)	MT013436 (Georgia)	Secondary
163WC0400X	Registered Nurse - Case Management	RN243005 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ladeidra Nicole Wooten is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ladeidra Nicole Wooten, RN 412 Conyers Rd, Loganville, GA 30052-2650 Ph: (770) 778-1702	Ladeidra Nicole Wooten, RN 412 Conyers Rd, Loganville, GA 30052-2650 Ph: (770) 778-1702

Reviews and Comments

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Ladeidra Nicole Wooten, RN - Registered Nurse in Loganville, GA