Individual
WHITNEY DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NC-BC
Contact information
Practice address
5412 IBIS CT, WILMINGTON, NC 28409-2630
(910) 934-1094
Mailing address
5412 IBIS CT, WILMINGTON, NC 28409-2630
(910) 934-1094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245536
NC
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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