Individual
DR. WHITNEY WALDROUP HOVENIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
640 W MOANA LN, RENO, NV 89509-4903
(775) 324-0699
(775) 323-6814
Mailing address
3950 GS RICHARDS BLVD, CARSON CITY, NV 89703
(775) 882-8777
(775) 888-8062
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2012017442
MO
207NS0135X
Procedural Dermatology Physician
Primary
15166
NV
207NS0135X
Procedural Dermatology Physician
A125661
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V107851
MEDICARE ID-TYPE UNSPECIFIED
NV
Enumeration date
03/27/2008
Last updated
12/12/2014
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