Doctor Name: | WHITNEY STAATS |
NPI Number: | 1003210253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 76536 |
Business Practice Address: | 8510 Bryant St Ste 200 Westminster, CO - 800313845 |
Business Phone Number: | 3034305560 |
Business Fax Number: | 3034305565 |
Mailing Address: | 8510 Bryant St Ste 200, WESTMINSTER |
State: | CO |
Postal Code: | 800313845 |
Phone Number: | 3034305560 |
Fax Number: | 3034305565 |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 76536 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |