Individual
MARGARET WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2211 MAYFAIR DR, SUITE 101, OWENSBORO, KY 42301-4568
(270) 688-1352
(270) 683-4313
Mailing address
9350 PARKS RD, UTICA, KY 42376-9574
(270) 275-4151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5035P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000560464
BCBS PIN
KY
05
—
200902510
—
IN
05
—
7100040490
—
KY
Enumeration date
02/04/2008
Last updated
10/21/2008
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