Alicia R Whitwell in Desloge - Nurse Practitioner
Alicia R Whitwell - NPI 1174602221
Alicia R Whitwell is a Nurse Practitioner in Desloge, Missouri. Alicia R Whitwell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Alicia R Whitwell is 1174602221. The last update date is 2013-02-27.
Alicia R Whitwell's current location address is 330 N State St, Desloge, Missouri. You can contact this provider via phone number 5734312829 and fax number 5734317186. The mailing address for Alicia R Whitwell is 330 N State St, Desloge, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia R Whitwell |
|---|---|
| Address | 330 N State St, Desloge, Missouri |
| Phone Number | 5734312829 |
| Fax Number | 5734317186 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1174602221 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2013-02-27 |
Provider Mailing Address Detail
| Address | 330 N State St |
|---|---|
| City | Desloge |
| State | Missouri (MO) |
| Post Code | 636013052 |
| Phone Number | 5734312829 |
| Fax Number | 5734317186 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 145117 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 421474909 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alicia R Whitwell by the Centers for Medicare & Medicaid Services?
The Alicia R Whitwell has been assigned the NPI (National Provider Identifier) 1174602221. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Alicia R Whitwell's facilities are geographically located?
The facilities of Alicia R Whitwell are physically situated at the following location: 330 N State St, Desloge, MO, 636013052.
What is Alicia R Whitwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alicia R Whitwell's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When did Alicia R Whitwell receive its 1174602221 assignment?
The Alicia R Whitwell was assigned its 1174602221 on 2006-11-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Alicia R Whitwell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alicia R Whitwell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-27.
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