Doctor Name: | MRS. DANA OMEGA WHALEY |
NPI Number: | 1801838057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | ARNP2809662 |
Business Practice Address: | 110 Ne 5th Street Carrabelle, FL - 323223529 |
Business Phone Number: | 8506972345 |
Business Fax Number: | 8506972348 |
Mailing Address: | P.o. Box 580, APALACHICOLA |
State: | FL |
Postal Code: | 323290580 |
Phone Number: | 8506538853 |
Fax Number: | 8506531879 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP2809662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |