MEDICARE: DR. DEBORAH CLARE WHITEHOUSE PSYCHIATRIC ARNP

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	1031777	KY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	379P	KY

General Provider Information

NPI Number	:	1629208954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH CLARE WHITEHOUSE PSYCHIATRIC ARNP

Provider Business Mailing Address
First Line	:	521 LANCASTER AVE
Second Line	:	204 ROWLETT BUILDING
City	:	RICHMOND
State	:	KY
Zip	:	40475-3100
Country	:	US
Telephone Number	:	859-622-1523
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 W MAIN ST
Second Line	:	CITY HALL GROUND FLOOR
City	:	RICHMOND
State	:	KY
Zip	:	40475-1592
Country	:	US
Telephone Number	:	859-623-1633
Fax Number	:

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

Provider Enumeration Date	:	07/21/2009
Last Update Date	:	07/21/2009

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