COURTNEY KAY WHITTEN
NPI 1548568926
Registered Nurse - Pediatrics in Syracuse, NY
Active since March 08, 2011
About Courtney Kay Whitten NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY KAY WHITTEN (NPI 1548568926) is an individual pediatrics provider in Syracuse, New York, licensed in North Carolina (193041) and active in the NPI registry since March 2011.
NPPES Registry Identity
NPI1548568926
Entity TypeIndividualFemale
Primary Taxonomy163WP0200X
Provider Legal NameCOURTNEY KAY WHITTEN
Location Address1101 WILLIS AVE, APT #1Syracuse, NY 13204-1034
Mailing Address1101 Willis Ave, Apt #1Syracuse, NY 13204-1034 · (704) 713-2596
Phone(704) 713-2596
Sole ProprietorYes
Enumeration DateMarch 8, 2011
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1548568926 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 5
★ Primary SpecialtyRegistered Nurse · PediatricsNursing Service Providers
Taxonomy Code163WP0200X
License✔ Licensed in NC · 193041
Also ListedRegistered NurseTaxonomy 163W00000X · License 193041 (NC)
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 193041 (NC)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 193041 (NC)
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 193041 (NC)
1101 WILLIS AVE, Syracuse, NY 13204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548568926, enumerated as an "individual" on March 08, 2011.
The provider is located at 1101 WILLIS AVE APT #1 SYRACUSE, NY 13204 and the phone number is (704) 713-2596.
Registered Nurse with taxonomy code 163WP0200X and a focus in Pediatrics.
