Provider Demographics
NPI:1609349943
Name:WHITING, HANNAH (LVN)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:WHITING
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:E
Other - Last Name:GUERTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:3603 BLUE SPRUCE WAY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-3951
Mailing Address - Country:US
Mailing Address - Phone:714-308-6952
Mailing Address - Fax:
Practice Address - Street 1:17270 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-9523
Practice Address - Country:US
Practice Address - Phone:951-780-2541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse