Individual
MAUREEN WHITELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 N SUGAR RIDGE RD, LA PLACE, LA 70068-6223
(305) 528-9515
Mailing address
2205 N SUGAR RIDGE RD, LA PLACE, LA 70068-6223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
07710
LA
363LF0000X
Family Nurse Practitioner
Primary
9274460
FL
Other
Enumeration date
12/16/2013
Last updated
01/08/2015
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