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Individual

AMBER WHITED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
2533 BRISTOL AVE, PAINESVILLE, OH 44077-5007

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177250
VA
390200000X
Student in an Organized Health Care Education/Training Program
RN.364659
OH

Other

Enumeration date
08/22/2018
Last updated
02/20/2019
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