Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | R170818 | MD |
Y | 363LP2300X | Nurse Practitioner - Primary Care | NP-17559 | OH |
NPI | 1033395272 |
---|---|
Provider Name | Mrs. Elizabeth Whitfield |
First Address | Cincinnati, OH 45242-4217 |
Second Address | Ellicott City, MD 21043-6068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 09/04/2018 |