Whitehead, Tina

Whitehead, Tina is an individual health care provider with primary practice located at 21154 Highway 421 Ste A , Hyden KY 41749-8553. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Whitehead, Tina can be contacted via phone (606) 672-1144.

Contact Information

Primary practice address
21154 Highway 421 Ste A Hyden KY 41749-8553
Phone: (606) 672-1144
Fax: (606) 672-1145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007764 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007764 Kentucky

Profile Details

NPI number 1437493228
LBN Legal business name Whitehead, Tina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2012
Last updated Oct 3rd, 2013 - about 12 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 1437493228 NPPES
Kentucky Other 000000812693 ANTHEM - HYDEN
Kentucky MEDICAID 7100252530 ANTHEM - HYDEN
Kentucky Other 000000813017 ANTHEM - HYDEN

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