IndividualActive
Bethany Wooten
NPI 1447645379 · Certified Registered Nurse Anesthetist · Los Alamos, NM
Provider details
- NPI number
- 1447645379
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2015013955 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3917 West Rd
Los Alamos, NM 87544-2275
Phone: (573) 686-5550
Approximate (ZIP-level) locationGet directions
Mailing address
860 Aster St
Los Alamos, NM 87547-3869
Additional practice locations (1)
- 10010 Kennerly RdSaint Louis, MO 63128-2106Phone: (636) 386-7222Fax: (636) 200-4036
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.