Individual
LAURI MAY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CNM
Contact information
Practice address
975 RYLAND ST, SUITE 105, RENO, NV 89502-1667
(775) 982-5640
(775) 982-5641
Mailing address
780 KUENZLI ST, SUITE 202, RENO, NV 89502-0845
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN25658
NV
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APN000734
NV
367A00000X
Advanced Practice Midwife
Primary
APN000734
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01262133
AMERIGROUP
—
01
—
11974233
CAQH
—
05
—
1750330023
—
NV
Enumeration date
05/06/2006
Last updated
05/21/2013
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