Individual
ELYSE M WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPN, FNP-C
Contact information
Practice address
2645 N 3RD ST, HARRISBURG, PA 17110-2001
(717) 782-4650
(717) 782-4665
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP013422
PA
363LF0000X
Family Nurse Practitioner
Primary
SP013422
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102885587
—
PA
Enumeration date
11/03/2013
Last updated
03/01/2017
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