Provider Demographics
NPI:1154473700
Name:WHETSTONE, DARCUS WHITE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DARCUS
Middle Name:WHITE
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1063 E 221ST ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1231
Mailing Address - Country:US
Mailing Address - Phone:718-881-6059
Mailing Address - Fax:718-654-1775
Practice Address - Street 1:506 MALCOLM X BLVD
Practice Address - Street 2:HARLEM HOSPITAL MEDICAL CL RHB 3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-8410
Practice Address - Fax:212-939-3892
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330686363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily