Doctor Name: | STEPHANIE ARLENE WHATLEY |
NPI Number: | 1003878612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 1136 |
Business Practice Address: | 2821 N Van Buren St Enid, OK - 737031729 |
Business Phone Number: | 5802139794 |
Business Fax Number: | 5802139795 |
Mailing Address: | 5300 N Independence Ave, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731125556 |
Phone Number: | 5802139794 |
Fax Number: | 5802139795 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |