Provider Demographics
NPI:1558857995
Name:WHINERY, BLAIR ASHLEY (ACNP)
Entity Type:Individual
Prefix:MS
First Name:BLAIR
Middle Name:ASHLEY
Last Name:WHINERY
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4233 E COOLBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9211
Mailing Address - Country:US
Mailing Address - Phone:561-289-9243
Mailing Address - Fax:
Practice Address - Street 1:4233 E COOLBROOK AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9211
Practice Address - Country:US
Practice Address - Phone:561-289-9243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP11214363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care