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NPI Code Detail

MEDICARE: STEPHANIE K WHITAKER CRNA

MEDICARE: STEPHANIE K WHITAKER CRNA
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
1367500000XCertified Registered Nurse AnesthetistAPRN11018462FL
2367500000XCertified Registered Nurse Anesthetist4704212002MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093822058
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE K WHITAKER CRNA
Provider Business Mailing Address
First Line : PO BOX 947407
Second Line :
City : ATLANTA
State : GA
Zip : 30394-7407
Country : US
Telephone Number : 941-917-2600
Fax Number : 941-917-7884
Provider Business Practice Location Address
First Line : 1700 S TAMIAMI TRL
Second Line :
City : SARASOTA
State : FL
Zip : 34239-3509
Country : US
Telephone Number : 941-917-6812
Fax Number : 941-917-6685
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 12/03/2025

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Directions to “ STEPHANIE K WHITAKER CRNA” Practice Location

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