MEDICARE: JOHN-PAUL WHITMAN MSN, RN, CNP

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
1	363L00000X	Nurse Practitioner	APRN.CNP.020545	OH

General Provider Information

NPI Number	:	1124567243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN-PAUL WHITMAN MSN, RN, CNP

Provider Business Mailing Address
First Line	:	817 WESTHAVEN DR
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-2712
Country	:	US
Telephone Number	:	330-410-0333
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1482
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2017
Last Update Date	:	09/28/2018

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