Provider Demographics
NPI:1538760343
Name:WHITMAN, DOROTHY CHRISTINE (RN)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:CHRISTINE
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5829 E LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CONESUS
Mailing Address - State:NY
Mailing Address - Zip Code:14435-9760
Mailing Address - Country:US
Mailing Address - Phone:585-728-2796
Mailing Address - Fax:585-728-9178
Practice Address - Street 1:WAYLAND -COHOCTON CENTRAL SCHOOL
Practice Address - Street 2:2350 ROUTE 63
Practice Address - City:WAYLAND
Practice Address - State:NY
Practice Address - Zip Code:14572
Practice Address - Country:US
Practice Address - Phone:585-728-2796
Practice Address - Fax:585-728-9178
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY279657-01163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0657545OtherRN LICENSE