Provider Demographics
NPI:1558329565
Name:WHYTE, ELAINE MARGARET (FNP-C)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:MARGARET
Last Name:WHYTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:MARGARET
Other - Last Name:WHYTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, RN, FNP-C
Mailing Address - Street 1:4340 W NEWBERRY RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2586
Mailing Address - Country:US
Mailing Address - Phone:352-745-7949
Mailing Address - Fax:352-873-5747
Practice Address - Street 1:4340 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2586
Practice Address - Country:US
Practice Address - Phone:352-745-7949
Practice Address - Fax:352-872-5747
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112320363LF0000X
TX626723363LF0000X
FL9368329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ24343Medicare UPIN