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NPI Code Detail

MEDICARE: LORRINA L WHALEN

MEDICARE: LORRINA L WHALEN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11028190FL

General Provider Information

NPI Number : 1033998414
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRINA L WHALEN
Provider Business Mailing Address
First Line : 2835 16TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33713-5523
Country : US
Telephone Number : 727-776-3523
Fax Number :
Provider Business Practice Location Address
First Line : 716 SEMINOLE BLVD
Second Line :
City : LARGO
State : FL
Zip : 33770-3627
Country : US
Telephone Number : 727-238-3241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2023
Last Update Date : 09/26/2023

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Directions to “ LORRINA L WHALEN ” Practice Location

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