Provider Demographics
NPI:1841751831
Name:WHITNEY, BETHANY ANNAMARIE (FNP-C, APRN)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:ANNAMARIE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:FNP-C, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 E WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4837
Mailing Address - Country:US
Mailing Address - Phone:847-278-1243
Mailing Address - Fax:847-466-7936
Practice Address - Street 1:806 E WOODFIELD RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4837
Practice Address - Country:US
Practice Address - Phone:847-278-1243
Practice Address - Fax:847-466-7936
Is Sole Proprietor?:No
Enumeration Date:2019-03-31
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL20919183208800000X
IL209019183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No208800000XAllopathic & Osteopathic PhysiciansUrology