Provider Demographics
NPI:1518153535
Name:WHITNEY, ANN DOHERTY (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:DOHERTY
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 SQUALICUM PKWY
Mailing Address - Street 2:STE. 5
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1949
Mailing Address - Country:US
Mailing Address - Phone:360-676-0972
Mailing Address - Fax:
Practice Address - Street 1:3001 SQUALICUM PKWY
Practice Address - Street 2:STE. 5
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1949
Practice Address - Country:US
Practice Address - Phone:360-676-0972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006414367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered