Doctor Name: | MS. WENDY WHITNEY |
NPI Number: | 1164441226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 211711-4405 |
Business Practice Address: | 855 California Ave Slc, UT - 841041632 |
Business Phone Number: | 8019770502 |
Business Fax Number: | |
Mailing Address: | 3044 E 3135 S, SLC |
State: | UT |
Postal Code: | 841092116 |
Phone Number: | 8014860883 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 211711-4405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |