SHIRLEY E WHITEHEAD WHCNP NPI 1639142557

NPI Information

NPI: 1639142557
Provider Name: SHIRLEY E WHITEHEAD, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
728 E WHITE MOUNTAIN BLVD
SUITE C
PINETOP, AZ
ZIP 85935
Phone: (928) 367-4257
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Shirley E Whitehead, WHCNP is a women's health nurse practitioner in Pinetop, AZ. Shirley E Whitehead, WHCNP NPI is 1639142557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

728 E WHITE MOUNTAIN BLVD
SUITE C
PINETOP, AZ
ZIP 85935
Phone: (928) 367-4257
Fax: (928) 367-4361

The enumeration date for this NPI number is 2/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	RN071478	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S91860	MEDICARE UPIN
2	75283	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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