Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 219548 | SC |
NPI | 1083012967 |
---|---|
Provider Name | Natalie Whitfield |
First Address | Florence, SC 29506-2526 |
Second Address | Florence, SC 29506-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2014 |
Last Update Date | 09/12/2014 |