Terrell Wootten, CNM is a
Advanced Practice Midwife based in South Hill, Virginia. Terrell Wootten is licensed to practice in Virginia (license number 0024056113) and her current practice location is
420 Bracey Ln, South Hill, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 447-7765.
NPI number for Terrell Wootten is 1871676742 and her current mailing address is Po Box 623, South Hill, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871676742.
Provider's Profile
| Full Name | Terrell Wootten |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 420 Bracey Ln, South Hill, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871676742
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/10/2014
Medical Identifiers
Medical identifiers for Terrell Wootten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871676742 | NPI | - | NPPES |
| 0024056113 | Other | VA | CNM VA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | 0024056113 (Virginia) | 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. Terrell Wootten 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 |
Terrell Wootten, CNM Po Box 623, South Hill, VA 23970-0623 Ph: (434) 447-7765 | Terrell Wootten, CNM 420 Bracey Ln, South Hill, VA 23970-1631 Ph: (434) 447-7765 |
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