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NPI Code Detail

MEDICARE: MRS. WHITTNEY RENAE IVER FNP

MEDICARE: MRS. WHITTNEY RENAE IVER 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
1363LF0000XFamily Nurse Practitioner202114568NP-PPOR
2363LF0000XFamily Nurse Practitioner95025644CA
3363LF0000XFamily Nurse Practitioner2016005873MO
4363LF0000XFamily Nurse Practitioner864516NV

General Provider Information

NPI Number : 1760910665
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WHITTNEY RENAE IVER FNP
Provider Business Mailing Address
First Line : 111 W PORT PLZ STE 600
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-3015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 W PORT PLZ STE 600
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-3015
Country : US
Telephone Number : 877-564-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2017
Last Update Date : 02/26/2026

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