Whiteaker, Roberta Gail

Whiteaker, Roberta Gail is an individual health care provider with primary practice located at 101 E Wood St Heart Failure Center, Spartanburg SC 29303-3040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Whiteaker, Roberta Gail can be contacted via phone (864) 560-6409.

Contact Information

Primary practice address
101 E Wood St Heart Failure Center Spartanburg SC 29303-3040
Phone: (864) 560-6409
Fax: (864) 560-7715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A2301 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AC2301 South Carolina

Profile Details

NPI number 1437117611
LBN Legal business name Whiteaker, Roberta Gail
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437117611 NPPES
South Carolina Other AA91179225 MEDICARE PIN
South Carolina Other S753223365 MEDICARE PIN
South Carolina MEDICAID NP0353 MEDICARE PIN

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