Individual
CRISTINA MAY WHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 1ST ST NW, PULASKI, VA 24301-5605
(540) 980-0550
Mailing address
319 BROOKE ELYSE LN, MAX MEADOWS, VA 24360-3547
(276) 245-5663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178125
VA
363LP2300X
Primary Care Nurse Practitioner
F04190587
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F04190587
FAMILY NURSE PRACTITIONER LICENSE NUMBER
VA
Enumeration date
06/13/2019
Last updated
10/14/2019
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