ALEXANDRA GRACE WOOTEN
NPI 1679183412
Emergency Medical Technician, Basic in Tacoma, WA
Active since August 06, 2020
About Alexandra Grace Wooten NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA GRACE WOOTEN (NPI 1679183412) is an individual emergency medical technician, basic provider in Tacoma, Washington, licensed in Washington (ES60980014) and active in the NPI registry since August 2020.
NPPES Registry Identity
NPI1679183412
Entity TypeIndividualFemale
Primary Taxonomy146N00000X
Provider Legal NameALEXANDRA GRACE WOOTEN
Location Address5043 N VISSCHER STTacoma, WA 98407-2112
Mailing Address5043 N Visscher StTacoma, WA 98407-2112 · (253) 948-6236
Phone(253) 948-6236
Sole ProprietorNo
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1679183412 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License✔ Licensed in WA · ES60980014
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
5043 N VISSCHER ST, Tacoma, WA 98407
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679183412, enumerated as an "individual" on August 06, 2020.
The provider is located at 5043 N VISSCHER ST TACOMA, WA 98407 and the phone number is (253) 948-6236.
Emergency Medical Technician, Basic with taxonomy code 146N00000X.
