Individual
STEPHANIE C WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
220 W WILLOW ST, BLDG A, LAFAYETTE, LA 70501-2837
(337) 262-5616
Mailing address
220 W WILLOW ST, BLDG A, LAFAYETTE, LA 70501-2837
(337) 262-5616
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN048514
LA
Other
Enumeration date
06/15/2012
Last updated
07/13/2012
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