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Individual

WHITNEY PHELAN

Active
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Individual

WHITNEY PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN362726COA1
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA16368NP
OH

Other

Enumeration date
09/08/2014
Last updated
09/18/2014
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