Provider / Organization | NPI | Date Certified |
---|---|---|
MARA SHAW WHITMORE | 1851004782 | 2023-02-11 |
Mara Shaw Whitmore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1851004782. Registration indicates Mara Shaw Whitmore is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Mara Shaw Whitmore APRN |
Practice Office Address | 147 WESTBROOK RD ESSEX, CT US |
Practice Office Telephone | 8603585065 |
Mailing Address | 147 WESTBROOK RD ESSEX, CT 064261512 US |
Business Telephone | 8603585065 |
Address | City / State | Phone / Fax |
---|---|---|
154 Main St | Old Saybrook, CT 064752373 | 8603585120 |
Code | Practice | License No State |
---|---|---|
163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 164048
CT |
363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 11614
CT |