National Provider Identifier

Michele M Wooten, CRNP

Michele M Wooten, CRNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Olean, NY and a listed phone number of (716) 543-3255.

NPI 1114299468Olean, NYNurse Practitioner

Profile Overview

NPI
1114299468
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
February 02, 2012
Last Updated
March 14, 2019

Practice Location

  • 528 N Barry St
  • Olean, NY 14760-2612

Phone: (716) 543-3255

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1114299468
Entity Type
Individual
Last Name
Wooten
First Name
Michele
Middle Name
M
Credential
CRNP
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
528 N Barry St
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-2612
Practice Country
US
Practice Phone
(716) 543-3255
Practice Fax
(716) 543-3256
Enumeration Date
February 02, 2012
Last Updated
March 14, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)
Other Identifiers
04345906 (NY)