MEDICARE: ROSEMARIE WHYTE FNP

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	363LF0000X	Family Nurse Practitioner	333174	NY

General Provider Information

NPI Number	:	1154433548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE WHYTE FNP

Provider Business Mailing Address
First Line	:	27 CATALPA LN
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-1734
Country	:	US
Telephone Number	:	516-374-2524
Fax Number	:	612-659-7101

Provider Business Practice Location Address
First Line	:	27 CATALPA LN
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-1734
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:	612-659-7101

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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