Provider Demographics
NPI:1114264942
Name:GATLIN, WHITNEY SMITH (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:SMITH
Last Name:GATLIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 MCFARLAND BLVD N.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2270
Mailing Address - Country:US
Mailing Address - Phone:205-556-5541
Mailing Address - Fax:205-554-7937
Practice Address - Street 1:1649 MCFARLAND BLVD N.
Practice Address - Street 2:SUITE 203
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2270
Practice Address - Country:US
Practice Address - Phone:205-556-5541
Practice Address - Fax:205-554-7937
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117845363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care