Individual
LISA D WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 NORFOLK RD, WINTHROP, WA 98862
(509) 996-5964
(509) 300-4005
Mailing address
5 QUAKING ASPEN DR, WINTHROP, WA 98862-9107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000108967
WA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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