Whitney, Wendy

Whitney, Wendy is an individual health care provider with primary practice located at 855 California Ave , Slc UT 84104-1632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Whitney, Wendy can be contacted via phone (801) 977-0502.

Contact Information

Primary practice address
855 California Ave Slc UT 84104-1632
Phone: (801) 977-0502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 211711-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 211711-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 828 Alaska

Profile Details

NPI number 1164441226
LBN Legal business name Whitney, Wendy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164441226 NPPES
Utah Other 211711-4405 STATE LICENSE
Utah Other 828 STATE LICENSE

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