Individual
LISA WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
195327
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
2331
NC
Other
Enumeration date
06/13/2012
Last updated
03/17/2022
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