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NPI Code Detail

MEDICARE: COLETTE WHYTE

MEDICARE: COLETTE WHYTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse861VI

General Provider Information

NPI Number : 1114144367
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLETTE WHYTE
Provider Business Mailing Address
First Line : PO BOX 243
Second Line :
City : KINGSHILL
State : VI
Zip : 00851-0243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 516 STRAND ST
Second Line :
City : FREDERIKSTED
State : VI
Zip : 00840-3533
Country : US
Telephone Number : 340-772-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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Directions to “ COLETTE WHYTE ” Practice Location

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