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NPI Code Detail

MEDICARE: MS. ROBIN LYNN WHITAKER RN

MEDICARE: MS. ROBIN LYNN WHITAKER RN
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
1163W00000XRegistered NurseRN0000087097TN

General Provider Information

NPI Number : 1700904984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN LYNN WHITAKER RN
Provider Business Mailing Address
First Line : PO BOX 595
Second Line :
City : HIXSON
State : TN
Zip : 37343-0595
Country : US
Telephone Number : 423-842-3031
Fax Number :
Provider Business Practice Location Address
First Line : 9527 W RIDGE TRAIL RD
Second Line :
City : SODDY DAISY
State : TN
Zip : 37379-4018
Country : US
Telephone Number : 423-842-3031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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