Organization
LADYS CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY E WHITEHEAD WHCNP (OWNER)
(928) 367-4257
Entity
Organization
Contact information
Practice address
728 E WHITE MTN BLVD, SUITE C, PINETOP, AZ 85935-2130
(928) 367-4257
(928) 367-4361
Mailing address
728 E WHITE MTN BLVD STE # C, PO BOX 2130, PINETOP, AZ 85935-2130
(928) 367-4257
(928) 367-4361
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN071478
AZ
Other
Enumeration date
02/05/2007
Last updated
08/13/2008
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