Whalio Doctors

NPI 1023346491

Garrick Mark Whitlock, CRNA

Practitioner Certified Registered Nurse Anesthetist Providence, RI

Practice location

Address
825 Chalkstone Ave, Providence, RI 02908-4728
Phone
(401) 456-2000
Mailing address
PO Box 6064, Providence, RI 02904

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA36728 (RI)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RN2259866 (MA)

Registry record

NPI
1023346491
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Nov 2009
Record last updated
28 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.