MEDICARE: WHITNEY MORAND RN, BSN

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	163W00000X	Registered Nurse	RN-426375	OH

General Provider Information

NPI Number	:	1982490918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY MORAND RN, BSN

Provider Business Mailing Address
First Line	:	8379 YANKEE ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1810
Country	:	US
Telephone Number	:	937-623-1374
Fax Number	:

Provider Business Practice Location Address
First Line	:	8379 YANKEE ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1810
Country	:	US
Telephone Number	:	937-623-1374
Fax Number	:

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

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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