MEDICARE: MRS. MALINDA BRIDGES WHITFIELD FNP, PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	04506	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	237798	AK
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704427434	MI
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	237989	AK
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61688062	WA
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025039610	MO
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024175918	VA
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0104209-C-NP	CO
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	358028	NY
10	363L00000X	Nurse Practitioner	N06742-01	NY
11	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10043954	OR
12	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0001278236	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942293998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MALINDA BRIDGES WHITFIELD FNP, PMHNP

Provider Business Mailing Address
First Line	:	213 S JEFFERSON ST STE 1006
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24011-1713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 JEFFERSON ST SW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24014-2419
Country	:	US
Telephone Number	:	540-981-8025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	04/02/2026

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