Individual
WHITNEY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9620 W RUSSELL RD, APT 2086, LAS VEGAS, NV 89148-4502
(702) 748-3316
Mailing address
9620 W RUSSELL RD, APT 2086, LAS VEGAS, NV 89148
(702) 748-3316
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172V00000X
—
NV
Enumeration date
03/05/2015
Last updated
03/05/2015
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