Provider Demographics
NPI:1386243319
Name:WHETSTONE, CARRIE NICOLE
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:NICOLE
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 FRANKFORT HWY APT B
Mailing Address - Street 2:
Mailing Address - City:FT ASHBY
Mailing Address - State:WV
Mailing Address - Zip Code:26719
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10210 FRANKFORT HWY APT B
Practice Address - Street 2:
Practice Address - City:FT ASHBY
Practice Address - State:WV
Practice Address - Zip Code:26719
Practice Address - Country:US
Practice Address - Phone:240-609-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant