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NPI Code Detail

MEDICARE: LYNNE M WHITNEY APRN

MEDICARE: LYNNE M WHITNEY APRN
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
1363LA2200XAdult Health Nurse Practitioner003435CT

General Provider Information

NPI Number : 1033139613
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNNE M WHITNEY APRN
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 860-972-6977
Fax Number : 860-972-7040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 10/07/2025

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