Provider Demographics
NPI:1730603598
Name:WHITTINGHAM, CARA (FNP)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:WHITTINGHAM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:LYNNE
Other - Last Name:WHITTINGHAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:381 TOWN LINE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-9670
Mailing Address - Country:US
Mailing Address - Phone:716-213-8018
Mailing Address - Fax:
Practice Address - Street 1:381 TOWN LINE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-9670
Practice Address - Country:US
Practice Address - Phone:716-213-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY341997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily