Individual
MS. RACHAEL SUZANNE WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1045 S LENZNER AVE, SIERRA VISTA, AZ 85635-4880
(520) 515-2930
Mailing address
1045 S LENZNER AVE, SIERRA VISTA, AZ 85635-4880
(520) 515-2930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN140671
AZ
163WS0200X
School Registered Nurse
Primary
SN0988
AZ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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