Provider Demographics
NPI:1114367299
Name:WHITTAKER, LYNN S (CRNP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:S
Last Name:WHITTAKER
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:155 WELLNESS WAY
Mailing Address - Street 2:SHANER CANCER CENTER
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-6709
Mailing Address - Country:US
Mailing Address - Phone:814-231-7800
Mailing Address - Fax:814-231-7295
Practice Address - Street 1:235 WELLNESS WAY
Practice Address - Street 2:SHANER CANCER CENTER
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6709
Practice Address - Country:US
Practice Address - Phone:814-231-7800
Practice Address - Fax:814-231-7295
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP012934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily