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Individual

ATALIE STEAKLEY WHITLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1-097248
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902947641
TRICARE
AL
01
511-88848
BLUE CROSS BLUE SHIELD OF ALABAMA
Enumeration date
02/08/2007
Last updated
08/21/2020
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