Provider Demographics
NPI:1528390796
Name:WHYLAND, BRENDA ELIZABETH (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:ELIZABETH
Last Name:WHYLAND
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 BEAVER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:OTISCO
Mailing Address - State:IN
Mailing Address - Zip Code:47163-9689
Mailing Address - Country:US
Mailing Address - Phone:812-256-2626
Mailing Address - Fax:
Practice Address - Street 1:931 BEAVER RIDGE RD
Practice Address - Street 2:
Practice Address - City:OTISCO
Practice Address - State:IN
Practice Address - Zip Code:47163-9689
Practice Address - Country:US
Practice Address - Phone:812-256-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula