Individual ProviderTrisha WootenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1021 Morehead Medical Dr, Suite A, Charlotte, NC 28204-2990(980) 442-2000PECOS EnrollmentBased on the most recent information from CMS, provider Trisha Wooten does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1013342310Provider TypeIndividualFull NameWooten, TrishaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date9/5/2013Last Updated1/3/2020Contact InformationPractice LocationPractice Address1021 Morehead Medical Dr, Suite A, Charlotte, NC 28204-2990Phone(980) 442-2000FaxUnlisted FaxMailing LocationMailing AddressPO Box 19305, Charlotte, NC 28219-9305PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5006432North Carolina