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Individual
DURRELLE T WHITMORE
Active
Individual
DURRELLE T WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010101436
VT
363L00000X
Nurse Practitioner
1813
WI
363L00000X
Nurse Practitioner
AP60303523
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023061
—
VT
05
—
1609888684
—
WA
05
—
43943700
—
WV
Enumeration date
08/11/2006
Last updated
10/02/2014
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