Provider Demographics
NPI:1801838057
Name:WHALEY, DANA OMEGA (ARNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:OMEGA
Last Name:WHALEY
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:135 AVENUE G
Mailing Address - Street 2:
Mailing Address - City:APALCHICOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32320-1613
Mailing Address - Country:US
Mailing Address - Phone:850-653-8853
Mailing Address - Fax:850-653-2474
Practice Address - Street 1:110 NE 5TH STREET
Practice Address - Street 2:
Practice Address - City:CARRABELLE
Practice Address - State:FL
Practice Address - Zip Code:32322-3529
Practice Address - Country:US
Practice Address - Phone:850-697-2345
Practice Address - Fax:850-697-2348
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2809662363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307732200Medicaid
FL371406579167004Medicare Oscar/Certification