Individual
MRS. LISA MARRIE WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, WCC
Contact information
Practice address
160 BENMONT AVE, SUITE 17, BENNINGTON, VT 05201-1873
(802) 447-4569
Mailing address
13 HILLSIDE ST, PO BOX 48, NORTH BENNINGTON, VT 05257-9521
(802) 447-2653
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0260024128
VT
163WW0000X
Wound Care Registered Nurse
5080710
MI
Other
Enumeration date
05/30/2009
Last updated
05/30/2009
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