Healthcare Provider Details

I. General information

NPI: 1467627521
Provider Name (Legal Business Name): DEBORAH ANN WHITMER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 AYLWARD AVE
ELLSWORTH KS
67439-2541
US

IV. Provider business mailing address

PO BOX 388
WILSON KS
67490-0388
US

V. Phone/Fax

Practice location:
  • Phone: 785-472-3111
  • Fax: 785-472-5396
Mailing address:
  • Phone: 785-658-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number13-41241-021
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: