Provider Demographics
NPI:1639554892
Name:WHALEN, ALLYSON (PNP)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:
Last Name:WHALEN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE BOONE ROAD
Mailing Address - Street 2:NAVAL HOSPITAL
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-1898
Mailing Address - Country:US
Mailing Address - Phone:360-475-4216
Mailing Address - Fax:360-475-4912
Practice Address - Street 1:ONE BOONE ROAD
Practice Address - Street 2:NAVAL HOSPITAL
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1898
Practice Address - Country:US
Practice Address - Phone:360-475-4216
Practice Address - Fax:360-475-4912
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60590690363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics