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NPI Code Detail

MEDICARE: MRS. NATALIE WHITMAN PCA

MEDICARE:  MRS. NATALIE  WHITMAN  PCA
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
13747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G23810020101OTHERPROVIDER ID

General Provider Information

NPI Number : 1942702303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE WHITMAN PCA
Provider Business Mailing Address
First Line : 2933 STATE ROUTE 34 SOUTH
Second Line :
City : HURRICANE
State : WV
Zip : 25526
Country : US
Telephone Number : 304-807-3304
Fax Number :
Provider Business Practice Location Address
First Line : 2933 STATE ROUTE 34 SOUTH
Second Line :
City : HURRICANE
State : WV
Zip : 25526
Country : US
Telephone Number : 304-807-3304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2018
Last Update Date : 03/01/2018

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Directions to “ MRS. NATALIE WHITMAN PCA” Practice Location

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