Individual
MEGAN WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(860) 793-3500
Mailing address
59 BANEBERRY LN, WETHERSFIELD, CT 06109-3510
(860) 558-3590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103558
CT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
103558
CT
163WM0102X
Maternal Newborn Registered Nurse
103558
CT
163WX0003X
Inpatient Obstetric Registered Nurse
103558
CT
Other
Enumeration date
08/20/2020
Last updated
08/21/2020
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