Individual
MARY JO WHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1031354
KY
163WR0006X
Registered Nurse First Assistant
110-99
KY
Other
Enumeration date
10/19/2012
Last updated
04/30/2014
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