Individual
MARY K. WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
57
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2271470
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0497
—
SC
Enumeration date
03/22/2006
Last updated
09/02/2025
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