Individual
MRS. MARLENE BLIZZARD WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
130 N CENTER ST, MOUNT OLIVE, NC 28365-1701
(919) 658-2505
Mailing address
130 N CENTER ST, MOUNT OLIVE, NC 28365-1701
(919) 658-2505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006594
NC
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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