Susan Marie Whittaker, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Mentor, OH. Individual provider (NPI-1).
NPI number1699803692
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1699803692
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Marie Whittaker
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2007
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN.CNP.12685 | OH | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN 315915 | OH |
Other names
- Susan Marie Brill (Former Name)
Practice location
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
Mailing address
7232 Justin WayMentor, OH 44060-4881
Phone 440-578-8200
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