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NPI Code Detail

MEDICARE: EMILY WHITTY CRNP

MEDICARE:   EMILY  WHITTY  CRNP
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
1363LP2300XPrimary Care Nurse PractitionerR223117MD

General Provider Information

NPI Number : 1215700893
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WHITTY CRNP
Provider Business Mailing Address
First Line : 269 STANMORE RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21212-1135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 SOLLERS POINT RD
Second Line :
City : DUNDALK
State : MD
Zip : 21222-4647
Country : US
Telephone Number : 410-288-6226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 11/06/2023

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