Individual
ALLICE DENISE WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPF4810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4810
NURSE PRACTITIONER #
CA
Enumeration date
04/07/2007
Last updated
03/01/2012
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