Provider Demographics
NPI:1316602881
Name:WHITT, LORA K (NP)
Entity type:Individual
Prefix:
First Name:LORA
Middle Name:K
Last Name:WHITT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1506
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1506
Mailing Address - Country:US
Mailing Address - Phone:812-842-4951
Mailing Address - Fax:812-858-4635
Practice Address - Street 1:4199 GATEWAY BLVD STE 2300
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8966
Practice Address - Country:US
Practice Address - Phone:812-842-4951
Practice Address - Fax:812-858-4635
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71011796A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily