Individual
AMELIA J WHIDDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1044400
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009978255
—
AL
01
—
510-78519
BCBS
AL
01
—
P00156296
RR MEDICARE
AL
Enumeration date
12/13/2005
Last updated
10/23/2013
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