Individual
AMY KATHLEEN WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 STATE ROUTE 22B, MORRISONVILLE, NY 12962-3417
(518) 561-1767
Mailing address
2155 STATE ROUTE 22B, MORRISONVILLE, NY 12962-3417
(518) 645-1022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404176-01
NY
Other
Enumeration date
08/22/2022
Last updated
09/12/2022
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