Individual
MS. ANITA K. WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5091 HYDE RD, ., ROME, OH 44085-9633
(440) 474-4465
(440) 474-4465
Mailing address
5091 HYDE RD, ., ROME, OH 44085-9633
(440) 474-4465
(440) 474-4465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 069286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278119
—
OH
01
—
PN 069286
NURSING LICENSE
OH
Enumeration date
08/22/2006
Last updated
07/09/2007
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