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NPI 1669824736

NPI 1669824736 : LENA LEE WHISENHUNT MSN, RN FNP-BC : WISE, VA

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General NPI Number Information
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    NPI Number           |    1669824736
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    Entity Type          |    Individual 
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    Provider Name        |    LENA LEE WHISENHUNT MSN, RN FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/12/2016
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    9434 COEBURN MOUNTAIN RD 
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    City                 |    WISE
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    State                |    VA
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    Zip                  |    24293-5944
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    Country              |    US
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    Telephone            |    276-328-2721
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4294 CARTER STANLEY HWY 
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    City                 |    MC CLURE
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    State                |    VA
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    Zip                  |    24269-7007
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    Country              |    US
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    Telephone            |    276-275-4630
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    0024174018
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    License Number State |    VA
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