Provider Demographics
NPI:1306237979
Name:WOOTTEN, BRITTANY MARIE (MD)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:MARIE
Last Name:WOOTTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3MED BN, 3MLG
Mailing Address - Street 2:UNIT 38445
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96373-8445
Mailing Address - Country:US
Mailing Address - Phone:703-398-5408
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL OKINAWA
Practice Address - Street 2:CHATAN, NAKAGAMI DISTRICT, OKINAWA , JAPAN
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:00904
Practice Address - Country:US
Practice Address - Phone:703-398-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-18
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01094732A207P00000X
390200000X
VA0101261175207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program