Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 10277915-1205 | UT |
NPI | 1184915217 |
---|---|
Provider Name | Rachel Elizabeth Whitney |
First Address | New Haven, CT 06510-3220 |
Second Address | Salt Lake City, UT 84113-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2011 |
Last Update Date | 17/03/2018 |