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Individual

MRS. SHARON LEE WHITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2686
(423) 844-2688
Mailing address
210 SKYWAY DR, CHUCKEY, TN 37641-5615
(423) 844-2686
(423) 844-2688

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44906
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145788901
TX
05
1508136
TN
Enumeration date
05/13/2006
Last updated
04/22/2014
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