Individual
LINDA WHITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 CLARK ST SUITE A, FAIRPLAY, CO 80440-0846
(719) 836-4154
Mailing address
PO BOX 846, FAIRPLAY, CO 80440-0846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN140454
CO
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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