Individual
BREANNA LAUREN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
890 RICHMOND PLZ, RICHMOND, KY 40475-2564
(859) 623-5155
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4005025
KY
Other
Enumeration date
05/31/2023
Last updated
04/16/2025
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