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Ronnie Whaley

Registered Nurse in Fairbanks, AK. Individual provider (NPI-1).

NPI number1689243263
StatusActive
Last updated in NPPESJun 18, 2021

Details

NPI
1689243263
Entity type
Individual (NPI-1)
Name
Ronnie Whaley
Sex
Male
Sole proprietor
No
Enumeration date
Jun 18, 2021
Certification date
Jun 2, 2021
Last updated
Jun 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse169716AKYes

Practice location

1025 Barnette Street
Fairbanks, AK 99701

Phone 907-451-1636

Mailing address

1025 Barnette Street
Fairbanks, AK 99701

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