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Individual

JANE A WHETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
801 W 5TH AVE, SUITE 518, SPOKANE, WA 99204-2823
(509) 747-3147
(509) 747-0020
Mailing address
4341 SPRINGDALE HUNTERS RD, SPRINGDALE, WA 99173-9713
(509) 258-9624

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006372
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142619
L&I
WA
05
8322489
WA
Enumeration date
08/29/2006
Last updated
07/09/2007
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