=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356318745
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WHITNEY B NOWAK NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2006
-----------------------------------------------------
Last Update Date | 10/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 212 CALEF HWY
-----------------------------------------------------
City | EPPING
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03042-2322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-693-2100
-----------------------------------------------------
Fax | 603-777-1895
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4 ALUMNI DR
-----------------------------------------------------
City | EXETER
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03833-2118
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-693-2100
-----------------------------------------------------
Fax | 603-777-1895
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 039024-23
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | 039024-23
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------