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Individual

JULIE WHALEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1872 BARGAMIN LOOP, CROZET, VA 22932-2897
(434) 825-9058
Mailing address
1872 BARGAMIN LOOP, CROZET, VA 22932-2897
(434) 825-9058

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001198082
VA
363LF0000X
Family Nurse Practitioner
Primary
0024171307
VA

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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