| Doctor Name: | SANDY WHITAKER |
| NPI Number: | 1063746378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-073681 |
| Business Practice Address: | 3320 Skyway Dr Suite 801 Opelika, AL - 368017137 |
| Business Phone Number: | 3348210238 |
| Business Fax Number: | 3348216685 |
| Mailing Address: | 3320 Skyway Dr, Suite 801 OPELIKA |
| State: | AL |
| Postal Code: | 368017137 |
| Phone Number: | 3348210238 |
| Fax Number: | 3348216685 |
| NPI Enumeration Date: | 09/21/2009 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 1-073681 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |