Provider Demographics
NPI:1407224322
Name:PERRY, WHITNEY ROSENKAMPFF (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:ROSENKAMPFF
Last Name:PERRY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVENUE
Mailing Address - Street 2:DESK F30- VASCULAR SURGERY
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-444-9760
Mailing Address - Fax:216-444-9324
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:MAILSTOP 5044
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-6156
Practice Address - Fax:216-844-8667
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN232143363LF0000X
OH020853363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily