Individual
DEMETRIA WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRRN
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
12526 E CENTRAL AVE APT 1538, WICHITA, KS 67206-2858
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13-88039-041
KS
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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