Individual
PHYLLIS WHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3796
Mailing address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 552-3796
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0017926
DE
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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