Provider Demographics
NPI:1003470683
Name:MOLASKY, WHITNEY MATHIS (MSN, ACNS-BC, AP-PMN)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:MATHIS
Last Name:MOLASKY
Suffix:
Gender:F
Credentials:MSN, ACNS-BC, AP-PMN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12420 PEED RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-9287
Mailing Address - Country:US
Mailing Address - Phone:615-973-4114
Mailing Address - Fax:
Practice Address - Street 1:DUMC 3677
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-1886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC276092364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health