MARY A WHITMAN NP

LAKE REGIONAL HEALTH SYSTEM

Dr MARY A WHITMAN NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1999.

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LAKE REGIONAL HEALTH SYSTEM

54 HOSPITAL DR
OSAGE BEACH
MO
650653050

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MARY A WHITMAN NP Information

Npi 1194710764
Pac Id 9739282864
Professional Enrollment Id I20070312000015
Last Name WHITMAN
First Name MARY
Middle Name A
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 1999
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LAKE REGIONAL HEALTH SYSTEM
Group Practice Pac Id 9133026776
Number Of Group Practice Members 59
Line 1 Street Address 54 HOSPITAL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City OSAGE BEACH
State MO
Zip Code 650653050
Phone Number
Hospital Affiliation Ccn 1 260186
Hospital Affiliation Lbn 1 LAKE REGIONAL HEALTH SYSTEM
Hospital Affiliation Ccn 2 260011
Hospital Affiliation Lbn 2 SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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