Provider Demographics
NPI:1639862246
Name:WHISSEL, AMYBETH (NBHWC)
Entity Type:Individual
Prefix:MS
First Name:AMYBETH
Middle Name:
Last Name:WHISSEL
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 23RD DR # 2
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3721
Mailing Address - Country:US
Mailing Address - Phone:917-312-1291
Mailing Address - Fax:
Practice Address - Street 1:1915 23RD DR # 2
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3721
Practice Address - Country:US
Practice Address - Phone:917-312-1291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach