Provider Demographics
NPI:1144090267
Name:WHITNEY, RACHEL LYNNE (FNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNNE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10308 ROCKAWAY ST
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-5225
Mailing Address - Country:US
Mailing Address - Phone:518-928-8272
Mailing Address - Fax:
Practice Address - Street 1:10308 ROCKAWAY ST
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-5225
Practice Address - Country:US
Practice Address - Phone:518-928-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034383163WM0705X
NY356654363LF0000X
NY668021163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily