Individual
TERRA WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-4513
Mailing address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-4513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN195409
AZ
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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