Individual
ANITA WHITEHAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 JO HARRY DR, FAIRMONT, WV 26554-3562
(304) 641-6066
Mailing address
1338 JO HARRY DR, FAIRMONT, WV 26554-3562
(304) 641-6066
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
83409
WV
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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