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Alizabethe Whipple

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

720 W 34th St Ste 104, Austin, TX 78705-1205

PECOS Enrollment

Based on the most recent information from CMS, provider Alizabethe Whipple is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1295365286
Provider Type
Individual
Full Name
Whipple, Alizabethe
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/19/2020
Last Updated
1/20/2020

Contact Information

Practice Location

720 W 34th St Ste 104, Austin, TX 78705-1205

(512) 261-4800

(512) 261-4803

Mailing Location

720 W 34th St Ste 104, Austin, TX 78705-1205

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP144614 Texas

Alizabethe Whipple

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Patel, Preeti

Hauser, Gina

Clymer, Brynn

Bonar, Nicole

Schauf, Carol A

Bonifacio, Erika Ongcangco

Frank, Jill Renee

Murphy, Emily Marie

Walrafen-Rinaldi, Brianna

Rodriguez, Cassandra Elyse