Individual
MS. CAROL MANNING WHITESIDES
Active
Individual
MS. CAROL MANNING WHITESIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
197834-8900
UT
363LF0000X
Family Nurse Practitioner
1978348900
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870532738005
—
UT
Enumeration date
08/25/2008
Last updated
08/25/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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