Provider Demographics
NPI:1316055676
Name:WHITNEY, PATRICIA G (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:G
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:UVM MEDICAL CENTER - FM/PALLIATIVE CARE
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-2000
Mailing Address - Fax:802-847-2929
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:UVM MEDICAL CENTER - FM/PALLIATIVE CARE
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2000
Practice Address - Fax:802-847-2929
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT0420010421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTOVN3178Medicaid
VTVN3178Medicare PIN
H84889Medicare UPIN