NPI 1760772818

Roger Newell Whiteway, CS

Practitioner Religious Nonmedical Practitioner Virginia Beach, VA

Practice location

Address: 1152 Crystal Lake Dr, Virginia Beach, VA 23451-3850
Phone: (757) 635-5724

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Registry record

NPI: 1760772818
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2011
Record last updated: 11 Apr 2011

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.