Individual
JAMES E. WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
133 ORNAC, CONCORD, MA 01742-4159
(978) 287-3162
Mailing address
133 ORNAC, CONCORD, MA 01742-4159
(978) 287-3162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
260729
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
918882
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260729
STATE
MA
Enumeration date
01/14/2010
Last updated
08/31/2017
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