Individual provider · Type 1 NPI
Nellie Lavern Whitaker, MD
General Practice Physician · Crofton, MD
NPI number
1326124595
Active
Practice location
1667 Croftoncentre, Suite 1
Crofton, MD 21114
Fax (410) 721-8874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D0028436 (MD) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1326124595
Nellie Lavern Whitaker, MD's National Provider Identifier is 1326124595, issued on Oct 31, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Crofton, MD. The record was last updated on Jul 8, 2007.