Individual
SHELBY WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4612 N 28TH ST, PHOENIX, AZ 85016-4999
(602) 764-7000
Mailing address
4539 W BEAUTIFUL LN, LAVEEN, AZ 85339-7318
(661) 427-8941
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
261090
AZ
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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