Breanna Whitlock, MS, FNP-BC
Nurse Practitioner, Family in Bethesda, MD. Individual provider (NPI-1).
NPI number1376910331
StatusActive
Last updated in NPPESNov 23, 2015
Details
- NPI
- 1376910331
- Entity type
- Individual (NPI-1)
- Name
- Breanna Whitlock
- Credential
- MS, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2015
- Last updated
- Nov 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AC001604 | MD | Yes |
| 163W00000X | Registered Nurse | 0001260669 | VA | |
| 163W00000X | Registered Nurse | 205443 | CO |
Practice location
6420 Rockledge DrSuite 4100
Bethesda, MD 20817-7837
Phone 301-530-5151 · Fax 301-530-7735
Mailing address
6420 Rockledge DrSuite 4100
Bethesda, MD 20817-7837
Phone 301-530-5151 · Fax 301-530-7735
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