Individual
CHAFONTA LANIECE WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
7229 US HIGHWAY 301 S, RIVERVIEW, FL 33578-4346
(813) 677-8418
(813) 355-5906
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.0991107-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APRN11017965
FL
364SA2100X
Acute Care Clinical Nurse Specialist
APN.0991107-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0991107-NP
DORA APN LICENSE
—
Enumeration date
04/04/2014
Last updated
08/05/2022
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