Individual
MRS. JUDY ANN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
406 W 1ST ST, OIL CITY, PA 16301-2820
(814) 677-5318
(814) 677-8794
Mailing address
406 W 1ST ST, OIL CITY, PA 16301-2820
(814) 677-5318
(814) 677-8794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN326041L
PA
363L00000X
Nurse Practitioner
Primary
SP007535
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1584292
HIGHMARK
PA
Enumeration date
04/28/2006
Last updated
10/15/2010
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