=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275452062
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANNI MORGEN WOOTERS CST/CSFA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2026
-----------------------------------------------------
Last Update Date | 07/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 HOSPITAL DR
-----------------------------------------------------
City | HENDERSONVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28792-5272
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-684-8501
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 61 EMMA DR
-----------------------------------------------------
City | CAMPOBELLO
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29322-9295
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-684-8501
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246ZC0007X
-----------------------------------------------------
Taxonomy Name | Surgical Assistant
-----------------------------------------------------
License Number | 100267214
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------