Doctor Name: | MRS. ELIZABETH WHITFIELD |
NPI Number: | 1033395272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP, MPH, |
License Number: | R170818 |
Business Practice Address: | 4390 Montgomery Rd Ellicott City, MD - 210436068 |
Business Phone Number: | 4102031700 |
Business Fax Number: | |
Mailing Address: | 733 Highwood Dr, BALTIMORE |
State: | MD |
Postal Code: | 212122710 |
Phone Number: | 5136021764 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R170818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |