Individual
ELIZABETH ANN WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 SCHOOL STREET, HAMPSHIRE COUNTY BOARD OF ED, ROMNEY, WV 26757
(304) 822-3258
Mailing address
RR1 BOX 106, AUGUSTA, WV 26704
(304) 267-3595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
68968
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013212
—
WV
Enumeration date
12/08/2008
Last updated
12/08/2008
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