Individual
MICKI LOUISE WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
6228 WALNUT CREEK RD, MARSHALL, NC 28753-6161
(828) 774-6105
Mailing address
6228 WALNUT CREEK RD, MARSHALL, NC 28753-6161
(828) 774-6105
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
458380
NC
Other
Enumeration date
12/27/2023
Last updated
12/29/2023
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