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Individual

CORY R WILHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
120 ADAMS LN, PORTERSVILLE, PA 16051-2419
(724) 368-4118
Mailing address
116 GUILLARD RD, PROSPECT, PA 16052-2702
(724) 496-6757

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011742
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP011742
LICENSE
PA
Enumeration date
12/09/2011
Last updated
05/10/2022
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