Provider Demographics
NPI:1912187170
Name:WHATLEY, JANET (ANP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:BRINDLEY STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1867 AIRPORT WAY
Mailing Address - Street 2:STE 130-B
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4056
Mailing Address - Country:US
Mailing Address - Phone:907-452-2178
Mailing Address - Fax:907-452-3524
Practice Address - Street 1:1867 AIRPORT WAY
Practice Address - Street 2:STE 130B
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4056
Practice Address - Country:US
Practice Address - Phone:907-452-2178
Practice Address - Fax:907-452-3524
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR61132363LF0000X
AK509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNP0509Medicaid
NMNM006G46OtherBCBS
NM98506781Medicaid
NMNM006G46OtherBCBS
NM98506781Medicaid