Individual
MIRANDA ALEXIS-MARTIN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
438 WALTONS MOUNTAIN RD, NEW CASTLE, VA 24127-8691
(540) 588-8555
Mailing address
438 WALTONS MOUNTAIN RD, NEW CASTLE, VA 24127-8691
(540) 588-8555
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
0001280462
VA
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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