Individual
MRS. RAQUEL M. WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
401 23RD ST, GLENWOOD SPRINGS, CO 81601-4363
(970) 945-1234
Mailing address
401 23RD ST, GLENWOOD SPRINGS, CO 81601-4363
(970) 945-1234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32201036
—
CO
Enumeration date
07/16/2007
Last updated
11/18/2008
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