Individual
ROBERT LANIER WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
#136 4441 SIX FORKS ROAD, SUITE 106, RALEIGH, NC 27609-5729
(919) 434-9350
Mailing address
12553 HONEYCHURCH ST, RALEIGH, NC 27614-8483
(919) 434-9350
(919) 453-0365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152932
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051981
—
NC
Enumeration date
08/01/2006
Last updated
10/29/2009
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