Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal, Critical Care |
363LN0005X | 50 | Nurse Practitioner |
| NPI # | 1588959670 |
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| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 06/16/2011 | ||||||||
| Last updated | 11/16/2020 - About 6 years ago | ||||||||
| Identifiers |
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MARY E WHITLOCK
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