Individual
CASEY N WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
4006653
KY
367A00000X
Advanced Practice Midwife
Primary
4006653
KY
Other
Enumeration date
08/01/2023
Last updated
04/29/2024
Update your record
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