| Doctor Name: | MRS. AMY WOOTTEN |
| NPI Number: | 1245200435 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM |
| License Number: | R124449 |
| Business Practice Address: | Naval Hospital Attn Professional Affairs Magtftc Mcagcc Box 788250 Twentynine Palms, CA - 922788250 |
| Business Phone Number: | 7608302258 |
| Business Fax Number: | |
| Mailing Address: | Naval Hospital Attn Professional Affairs, Magtftc Mcagcc Box 788250 TWENTYNINE PALMS |
| State: | CA |
| Postal Code: | 922788250 |
| Phone Number: | 7608302258 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | R124449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |