Individual provider · Type 1 NPI
Nancy C. Whelan, RN, APN-C
Pediatric Nurse Practitioner · Newark, NJ
NPI number
1114124203
Active
Practice location
200 Lyons Ave, Building L-5 Pediatric Gastroenterology
Newark, NJ 07112-2026
Fax (973) 705-3148
Mailing address
1123 Coolidge Rd
Elizabeth, NJ 07208-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NO10834400 (NJ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 26NN10834400 (NJ) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1114124203
Nancy C. Whelan, RN, APN-C's National Provider Identifier is 1114124203, issued on Jul 2, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Newark, NJ. The record was last updated on Jul 23, 2021.