Individual
ANITA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2412 3RD STREET, HUGHSON, CA 95326
(209) 558-7250
Mailing address
917 OAKDALE RD, MODESTO, CA 95355-4593
(209) 558-7248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP2398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN360549
MEDICAL
CA
Enumeration date
04/11/2006
Last updated
07/17/2023
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