Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 0024182040 | VA |
NPI | 1144891060 |
---|---|
Provider Name | Mr. Christopher Lee Whatley |
First Address | Winchester, VA 22601-2808 |
Second Address | Winchester, VA 22601-2808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2021 |
Last Update Date | 20/09/2021 |