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Individual

ELIZABETH WHITESIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
320 S KITSAP BLVD, PORT ORCHARD, WA 98366-3778
(360) 377-3776
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 377-3776

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201606700NP-PP
OR

Other

Enumeration date
09/23/2015
Last updated
09/07/2021
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