Doctor Name: | KAREN WITZEL WHITTEMORE |
NPI Number: | 1033153341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 198462-4405 |
Business Practice Address: | 74 W Harding Ave Cedar City, UT - 847202562 |
Business Phone Number: | 4358651387 |
Business Fax Number: | 4358656357 |
Mailing Address: | 74 W Harding Ave, CEDAR CITY |
State: | UT |
Postal Code: | 847202562 |
Phone Number: | 4358651387 |
Fax Number: | 4358656357 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 02/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 198462-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |