Individual
STEPHANIE R. WHITMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 BAILEY RD, FORT DEFIANCE, VA 24437-2067
(540) 448-3158
Mailing address
42 BAILEY RD, FORT DEFIANCE, VA 24437-2067
(540) 448-3158
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
0173829513
VA
171M00000X
Case Manager/Care Coordinator
Primary
1497561328
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173829513
—
VA
05
—
1497561328
—
VA
Enumeration date
12/05/2024
Last updated
02/10/2025
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