Nellie Lavern Whitaker in Crofton - General Practice

Nellie Lavern Whitaker - NPI 1326124595

Nellie Lavern Whitaker is a General Practice in Crofton, Maryland. Nellie Lavern Whitaker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nellie Lavern Whitaker is 1326124595. The last update date is 2007-07-08.

Nellie Lavern Whitaker's current location address is 1667 Croftoncentre, Crofton, Maryland. You can contact this provider via phone number 4107212700 and fax number 4107218874. The mailing address for Nellie Lavern Whitaker is 1667 Croftoncentre, Crofton, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Nellie Lavern Whitaker
Address 1667 Croftoncentre, Crofton, Maryland
Phone Number 4107212700
Fax Number 4107218874
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1326124595
Provider Enumeration Date 2006-10-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1667 Croftoncentre
City Crofton
State Maryland (MD)
Post Code 21114
Phone Number 4107212700
Fax Number 4107218874

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No D0028436
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Nellie Lavern Whitaker

What is the unique 10-digit identifier code assigned to Nellie Lavern Whitaker by the Centers for Medicare & Medicaid Services?

The Nellie Lavern Whitaker has been issued the NPI (National Provider Identifier) 1326124595 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Nellie Lavern Whitaker's facilities are geographically located?

The facilities of Nellie Lavern Whitaker are physically situated at the following location: 1667 Croftoncentre, Crofton, MD, 21114.

What is Nellie Lavern Whitaker's specialized field of practice, and what is the corresponding taxonomy classification code?

The Nellie Lavern Whitaker's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326124595 to Nellie Lavern Whitaker?

The Centers for Medicare & Medicaid Services originally issued the 1326124595 to Nellie Lavern Whitaker on 2006-10-31.

When was the information pertaining to Nellie Lavern Whitaker most recently updated or revised?

The details related to Nellie Lavern Whitaker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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