Individual
HEATHER ELIZABETH WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
85 RETREAT AVE, HARTFORD, CT 06106-2555
(860) 972-4183
Mailing address
85 RETREAT AVE, HARTFORD, CT 06106-2555
(860) 972-4183
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
9307494-4405
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
9855
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9307494-4405
STATE LICENSE
UT
Enumeration date
11/06/2007
Last updated
02/11/2022
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