Provider Demographics
NPI:1851517403
Name:WHALEN, FRANCES ELIZABETH (RD)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ELIZABETH
Last Name:WHALEN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:WHALEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:400 S EMMETT AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2202
Mailing Address - Country:US
Mailing Address - Phone:406-782-4917
Mailing Address - Fax:
Practice Address - Street 1:400 S CLARK ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2328
Practice Address - Country:US
Practice Address - Phone:406-723-2429
Practice Address - Fax:406-723-2434
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT224133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0280800Medicaid