Provider Demographics
NPI:1083951610
Name:ALBRIGHT, WHITNEY RICHARDSON (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:RICHARDSON
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:LYNN
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28388-0660
Mailing Address - Country:US
Mailing Address - Phone:910-692-3144
Mailing Address - Fax:
Practice Address - Street 1:120 BRAEMAR COURT
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28388
Practice Address - Country:US
Practice Address - Phone:910-692-3144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-03985363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical