MR. STANLEY FRANKLIN WHITTAKER ANP NPI 1760485189

NPI Information

NPI: 1760485189
Provider Name: MR. STANLEY FRANKLIN WHITTAKER, ANP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
20274 CENTRAL AVE W
BLOUNTSTOWN, FL
ZIP 32424
Phone: (850) 353-7689
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MR. Stanley Franklin Whittaker, ANP is a family nurse practitioner in Blountstown, FL with 25 years of experience. MR. Stanley Franklin Whittaker, ANP NPI is 1760485189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20274 CENTRAL AVE W
BLOUNTSTOWN, FL
ZIP 32424-957
Phone: (850) 353-7689
Fax: (850) 674-8889

The NPI 1760485189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	ARNP2582432	FLORIDA	Yes
2	363LF0000X	Nurse Practitioner	Family	587	ALASKA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP2308	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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