Doctor Name: | AMY J WHITSEL |
NPI Number: | 1124394655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | F0212373 |
Business Practice Address: | 114 Peach Orchard Road Mcconnellsburg, PA - 17233 |
Business Phone Number: | 7174856100 |
Business Fax Number: | |
Mailing Address: | 21206 Owl Hollow Rd, THREE SPRINGS |
State: | PA |
Postal Code: | 172648638 |
Phone Number: | 8144483166 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2012 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0212373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |