Provider Demographics
NPI:1679820401
Name:WHALEY-PRYOR, GIGI TERESA (DNP,FNP,APRN)
Entity Type:Individual
Prefix:DR
First Name:GIGI
Middle Name:TERESA
Last Name:WHALEY-PRYOR
Suffix:
Gender:F
Credentials:DNP,FNP,APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3558 BROOKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9829
Mailing Address - Country:US
Mailing Address - Phone:801-718-4558
Mailing Address - Fax:
Practice Address - Street 1:1276 WALL AVE
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-5657
Practice Address - Country:US
Practice Address - Phone:801-337-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT319507-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily