Individual
SANDRA E WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
732 LINDSAY LN, CODY, WY 82414-4103
(307) 587-2139
Mailing address
5623 E DUNBAR RD, MONROE, MI 48161-9127
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12134.523
WY
367500000X
Certified Registered Nurse Anesthetist
16175
MT
367500000X
Certified Registered Nurse Anesthetist
D-04627
IA
367500000X
Certified Registered Nurse Anesthetist
R109957-3
MN
Other
Enumeration date
01/24/2006
Last updated
07/09/2007
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