Lisa Marrie Whitman RN, WCC

NPI 1164658530 - Registered Nurse - 163WW0000X

NPI Details
NPI 1164658530
Gender Female
Enumeration Date 05/30/2009
Last Updated 05/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
160 BENMONT AVE
SUITE 17
BENNINGTON VT, 05201-1873, US
Phone (802) 447-4569
Fax
Business Location
13 HILLSIDE ST
PO BOX 48
NORTH BENNINGTON VT, 05257-9521, US
Phone (802) 447-2653
Fax
Toxanomy
Taxonomy Code 163WW0000X
License State Michigan
License Number 5080710
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According to our database, Mrs. Lisa Marrie Whitman RN, WCC NPI is 1164658530, taxonomy code is 163WW0000X and license number is 5080710, license state is located at Michigan. Lisa Marrie Whitman RN, WCC physically located at 160 Benmont Ave, Bennington VT, 05201-1873. NPI Number Lisa Marrie Whitman RN, WCC has the Individual type.

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1164658530 NPI number is provided on an as is basis without warranty of any kind. 1164658530 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Marrie Whitman RN, WCC are for informational purposes only.