Individual
GEOFFREY WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
C8 SHIPWAY PL, CHARLESTOWN, MA 02129-4301
(325) 439-9799
Mailing address
90 NEW STATE HWY, RAYNHAM, MA 02767-5460
(508) 880-6868
(508) 880-6848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2267850
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02354878987
PRIVATE PAYERS
—
Enumeration date
08/17/2011
Last updated
01/11/2023
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