Individual
SHAINA DANAE WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
820 GRIMES BLVD, LEXINGTON, NC 27292-7640
(336) 224-6070
(336) 224-6393
Mailing address
820 GRIMES BLVD, LEXINGTON, NC 27292-7640
(336) 224-6070
(336) 224-6393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76445
NC
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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