Individual
SHIRLEY E WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
728 E WHITE MOUNTAIN BLVD, SUITE C, PINETOP, AZ 85935
(928) 367-4257
(928) 367-4361
Mailing address
PO BOX 2130, PINETOP, AZ 85935-2130
(928) 367-4257
(928) 367-4361
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN071478
AZ
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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