# KATIE WHITAKER PMHNP-BC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669128104
- **Authorized official:** CATHERINE WHITAKER PHMNP-BC (OWNER AND PROVIDER)
- **Authorized official phone:** (802) 552-0260

## Contact information

- **Practice address:** 100 E STATE ST STE 102, MONTPELIER, VT 05602-3112
- **Practice address phone:** (802) 552-0260
- **Mailing address:** PO BOX 131, MARSHFIELD, VT 05658-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 05/21/2024