Individual
ROBERT J WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APN
Contact information
Practice address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
(317) 272-0807
Mailing address
6655 E US HIGHWAY 36, AVON, IN 46123-8923
(888) 714-1927
(317) 272-0807
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005740A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71005740A
IN
Other
Enumeration date
09/21/2015
Last updated
11/14/2016
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