Individual
MS. CONNIE R WHITENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
12033 AGENCY ROAD, PARKER, AZ 85344
(928) 669-2137
(928) 663-3131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60098710
WA
163WC0400X
Case Management Registered Nurse
Primary
RN156695
AZ
163WP2201X
Ambulatory Care Registered Nurse
RN156695
AZ
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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