Individual
HEATHER WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1530 ELLIS ST, BELLINGHAM, WA 98225-4905
(360) 734-9095
(360) 715-8630
Mailing address
317 E MARYLAND ST, BELLINGHAM, WA 98225-2617
(360) 756-6079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005723
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9629668
—
WA
Enumeration date
07/06/2006
Last updated
07/08/2007
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