Individual provider · Type 1 NPI

Brock Alan Wooten

Nurse Practitioner · Seattle, WA

NPI number 1659116408 Active

Practice location

2111 N Northgate Way Ste 216
Seattle, WA 98133-9018

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAPRN.CNP.0036699 (OH)
Nurse Practitioner Primary 363L00000XAP70035795 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659116408

Brock Alan Wooten's National Provider Identifier is 1659116408, issued on Jun 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Seattle, WA. The record was last updated on Jan 8, 2026.