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NPI Code Detail

MEDICARE: WHITNEY PETTERS BSN, RN

MEDICARE: WHITNEY PETTERS BSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1127226KY

General Provider Information

NPI Number : 1407781057
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY PETTERS BSN, RN
Provider Business Mailing Address
First Line : 1630 NIGHTINGALE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40213-1008
Country : US
Telephone Number : 502-430-1506
Fax Number :
Provider Business Practice Location Address
First Line : 1630 NIGHTINGALE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40213-1008
Country : US
Telephone Number : 502-430-1506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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