Individual
LAURA ELIZABETH WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
2110 16TH ST STE 4, BAY CITY, MI 48708-7609
(989) 892-2517
Mailing address
3937 CASTLE DR, BAY CITY, MI 48706-2007
(248) 410-2857
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704299408
MI
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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