| Breanna Wootson, CRNP | |
|
4258 Highway 231 Ste 5, Laceys Spring, AL 35754-6444 | |
| (256) 498-6500 | |
| Not Available |
| Full Name | Breanna Wootson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4258 Highway 231 Ste 5, Laceys Spring, Alabama |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902598246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-160877 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Marshall Medical Centers | Boaz, AL | Hospital |
| Entity Name | Valley Sunrise Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215699160 PECOS PAC ID: 8628466794 Enrollment ID: O20211021001601 |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Wootson, CRNP 157 Silver Strand Trl, Huntsville, AL 35806-4710 Ph: (256) 468-6045 | Breanna Wootson, CRNP 4258 Highway 231 Ste 5, Laceys Spring, AL 35754-6444 Ph: (256) 498-6500 |
Tammy Lynn Wilson, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4258 Highway 231 Ste 5, Laceys Spring, AL 35754 Phone: 256-498-6500 Fax: 256-970-2929 | |
Rebecca Dianna Worsham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4258 Highway 231 Ste 5, Laceys Spring, AL 35754 Phone: 256-498-5770 Fax: 256-498-5799 |