Healthcare Provider Details

I. General information

NPI: 1699692608
Provider Name (Legal Business Name): DENISE WHITING WHITING RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DENISE WHITING DAWSON RN

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 MOORINGS CIR
STEVENSVILLE MD
21666-2295
US

IV. Provider business mailing address

449 MOORINGS CIR
STEVENSVILLE MD
21666-2295
US

V. Phone/Fax

Practice location:
  • Phone: 570-490-1141
  • Fax:
Mailing address:
  • Phone: 570-490-1141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN264809L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: