Individual
REED WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15462 W SHANGRI LA RD, SURPRISE, AZ 85379-5384
(602) 943-2381
Mailing address
15462 W SHANGRI LA RD, SURPRISE, AZ 85379-5384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9417194-3102
UT
163WC0200X
Critical Care Medicine Registered Nurse
9417194-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1556
AZ
Other
Enumeration date
08/06/2018
Last updated
09/17/2018
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