Whited, Leta

Whited, Leta is an individual health care provider with primary practice located at 104 S Front Ave , Prestonsburg KY 41653. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Whited, Leta can be contacted via phone (606) 886-8572.

Contact Information

Primary practice address
104 S Front Ave Prestonsburg KY 41653
Phone: (606) 886-8572
Fax: (606) 886-4433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN0000091706 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 14505 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3007374 Kentucky

Profile Details

NPI number 1881723732
LBN Legal business name Whited, Leta
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881723732 NPPES
Kentucky MEDICAID 7100215200

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