Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA WHITAKER
Active Sole ProprietorSANDRA WHITAKER is a Behavioral Health, Residential healthcare provider located in IVOR, Virginia. NPI 1962882753 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · IVOR, VA
Registration Details
- NPI Number
- 1962882753
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2015 (11.191111098621 yrs)
- Last Updated
- Jun 5, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
37465 GENERAL MAHONE BLVDIVOR, VA, 238663017Browse VA providers · Browse ZIP 23866
- Phone
- 7578599431
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.