# STEPHANIE C WHITTAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902043755
- **Gender:** F
- **Credential:** CNS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364S00000X | Clinical Nurse Specialist | 71002852 | IN | — |
| 364SP0200X | Pediatric Clinical Nurse Specialist | 71002852A | IN | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 12/15/2020
