Provider Demographics
NPI:1346598679
Name:WHATLEY, RHONDA ROSEMARIE (DNP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:ROSEMARIE
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2173 HIGHLAND AVE S APT H817
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4052
Mailing Address - Country:US
Mailing Address - Phone:646-963-4824
Mailing Address - Fax:
Practice Address - Street 1:288 CROWN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3026
Practice Address - Country:US
Practice Address - Phone:678-723-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY680211163W00000X
GARN240942363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse