Individual
MS. CYNTHIA J WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
WARRIOR CLINIC, TITUS AVENUE, FORT CARSON, CO 80913-0463
(804) 837-5761
Mailing address
10082 BEECHWOOD DRIVE, MECHANICSVILLE, VA 23116
(804) 837-5761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167655
VA
Other
Enumeration date
09/12/2006
Last updated
05/07/2008
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