Provider Demographics
NPI:1508312307
Name:WHITCOMB, HOPE (RN)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:WHITCOMB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:COCHECTON
Mailing Address - State:NY
Mailing Address - Zip Code:12726-5509
Mailing Address - Country:US
Mailing Address - Phone:845-707-1682
Mailing Address - Fax:
Practice Address - Street 1:840 BENMOSCHE ROAD
Practice Address - Street 2:
Practice Address - City:HARRIS
Practice Address - State:NY
Practice Address - Zip Code:12742
Practice Address - Country:US
Practice Address - Phone:845-707-8114
Practice Address - Fax:845-707-8623
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22-659493163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool