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Individual

SANDY WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3320 SKYWAY DR, SUITE 801, OPELIKA, AL 36801-7137
(334) 821-0238
(334) 821-6685
Mailing address
3320 SKYWAY DR, SUITE 801, OPELIKA, AL 36801-7137
(334) 821-0238
(334) 821-6685

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-073681
AL

Other

Enumeration date
09/21/2009
Last updated
09/05/2014
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