Individual
THURITHABHANI UDATHARI WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-4100
Mailing address
1505 MEETING HOUSE RD, KNOXVILLE, TN 37931-4428
(479) 212-1538
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
124642
TN
207L00000X
Anesthesiology Physician
C003266
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
3015692
KY
Other
Enumeration date
01/04/2019
Last updated
05/20/2024
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