Provider Demographics
NPI:1235532763
Name:WHITEMAN, STEPHANIE
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:WHITEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 MONROE ST NW
Mailing Address - Street 2:APT. 422
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3452
Mailing Address - Country:US
Mailing Address - Phone:202-086-6438
Mailing Address - Fax:
Practice Address - Street 1:1380 MONROE ST NW
Practice Address - Street 2:APT. 422
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3452
Practice Address - Country:US
Practice Address - Phone:202-086-6438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA6225374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide