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Individual

MS. JUDITH L WHISLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2432
(513) 872-8857
Mailing address
PO BOX 640738, CINCINNATI, OH 45264-0001
(800) 754-9764
(937) 293-0960

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN170644
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000291497
ANTHEM
OH
05
0817138
OH
05
74006867
KY
01
P00039492
RR MEDICARE PALMETTO GBA
OH
Enumeration date
04/26/2006
Last updated
07/09/2007
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