Individual
HOLLY CAROLINE WHISNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-1234
Mailing address
PO BOX 22005, ST PETERSBURG, FL 33742-2005
(727) 823-2188
(727) 823-9502
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2991322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000381200
—
FL
01
—
G4635
BCBS OF FL
FL
01
—
P00778593
RAILROAD MEDICARE WITH GROUP CF4811
—
Enumeration date
03/14/2008
Last updated
01/25/2010
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