Provider Demographics
NPI:1790558625
Name:CORDA WHITEHEAD, FRANCES M (RN, BSN)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:CORDA WHITEHEAD
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Gender:F
Credentials:RN, BSN
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1825 PARK AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-1601
Mailing Address - Country:US
Mailing Address - Phone:212-774-3206
Mailing Address - Fax:212-996-3502
Practice Address - Street 1:1825 PARK AVE FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1601
Practice Address - Country:US
Practice Address - Phone:212-774-3206
Practice Address - Fax:212-996-3502
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY338511163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)