Individual
MRS. BETH A WHIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
552 MAIN ST, PHOENIX, NY 13135-2018
(315) 695-1634
(315) 695-1694
Mailing address
301 BESAW RD, PHOENIX, NY 13135-2149
(315) 593-7551
(315) 695-1694
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
352110-1
NY
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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