Individual
MRS. BERNADETTE ELISA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1501 S PINELLAS AVE STE Q, TARPON SPRINGS, FL 34689-1952
(727) 389-9558
Mailing address
4287 TREMBLAY WAY, PALM HARBOR, FL 34685-2645
(727) 709-6886
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARPN1384512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117036900
—
FL
Enumeration date
10/02/2006
Last updated
02/22/2023
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