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STEPHANIE WHITAKER
Home Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1003315748
Individual Registrant: STEPHANIE WHITAKER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5528 COUNTY ROAD 874 CUSHING, TX 75760-5186 US
Tel: 936-234-2955 Fax: --
Tel: 936-234-2955 Fax: --
Contact information for business:
5528 COUNTY ROAD 874 CUSHING, TX 75760-5186 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1003315748
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WH0200X | Nursing Service Providers Registered Nurse Home Health | TX | 801846 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
