Provider Demographics
NPI:1821499070
Name:PHELAN, WHITNEY (CNP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:PHELAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 S. MAIN ST
Mailing Address - Street 2:SUITE 2446A
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311
Mailing Address - Country:US
Mailing Address - Phone:330-253-7415
Mailing Address - Fax:330-253-5260
Practice Address - Street 1:224 W. EXCHANGE ST.
Practice Address - Street 2:SUITE 380
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302
Practice Address - Country:US
Practice Address - Phone:330-344-6676
Practice Address - Fax:330-434-3611
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN362726COA1163WG0600X
OHCOA16368NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WG0600XNursing Service ProvidersRegistered NurseGerontology