Individual
STACIE WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3997
(360) 417-7000
Mailing address
1010 N 102ND ST STE 300, OMAHA, NE 68114-2122
(866) 633-3548
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9477243
FL
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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