Individual
GLENDA WHITEHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28 A ARROYO LANE, RIVERTON, WY 82501-0240
(307) 840-0763
Mailing address
PO BOX 1986, RIVERTON, WY 82501-0240
(307) 840-0763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21227
WY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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