Provider Demographics
NPI:1144409426
Name:HARRIS, WHITNEY WARFIELD (PA-C)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:WARFIELD
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ERIN
Other - Last Name:WARFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:10666 NORTH TORREY PINES ROAD
Mailing Address - Street 2:MS220
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-554-7474
Mailing Address - Fax:858-554-6630
Practice Address - Street 1:10666 NORTH TORREY PINES ROAD
Practice Address - Street 2:MS220
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-554-7474
Practice Address - Fax:858-554-6630
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19367363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical