Provider Demographics
NPI:1922753169
Name:WHITMAN, HANNAH PIVER (NP)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:PIVER
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 WACCAMAW SHORES RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WACCAMAW
Mailing Address - State:NC
Mailing Address - Zip Code:28450-2497
Mailing Address - Country:US
Mailing Address - Phone:843-421-2202
Mailing Address - Fax:
Practice Address - Street 1:626 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3708
Practice Address - Country:US
Practice Address - Phone:910-642-3356
Practice Address - Fax:910-642-5433
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF01220629363LF0000X
NC5015765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty