Individual
ALICIA WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINGTON, CT 06030-6235
(860) 679-3343
(860) 679-4256
Mailing address
31 LOCUST HILL RD, EAST CANAAN, CT 06024-2622
(860) 459-6560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
12.006340
CT
363LF0000X
Family Nurse Practitioner
Primary
12.006340
CT
Other
Enumeration date
10/14/2015
Last updated
09/23/2024
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