Doctor Name: | CAROLINE A WHITNEY |
NPI Number: | 1457351199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC FNP |
License Number: | R0613332 |
Business Practice Address: | 435 S Grove St Ste 1 Blue Earth, MN - 560132604 |
Business Phone Number: | 5075267388 |
Business Fax Number: | 5075262467 |
Mailing Address: | 435 S Grove St, Ste 1 BLUE EARTH |
State: | MN |
Postal Code: | 560132604 |
Phone Number: | 5075267388 |
Fax Number: | 5075262467 |
NPI Enumeration Date: | 07/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R0613332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |