Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 334045 | CA |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 334045 | CA |
NPI | 1023293073 |
---|---|
Provider Name | Daniel Ervin Whitfield |
First Address | Los Angeles, CA 90027 |
Second Address | Los Angeles, CA 90027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2008 |
Last Update Date | 08/01/2008 |