Provider Demographics
NPI:1962012849
Name:WHIPKEY, TERESA
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:WHIPKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RODNEY DR APT D
Mailing Address - Street 2:
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-8054
Mailing Address - Country:US
Mailing Address - Phone:740-405-6719
Mailing Address - Fax:
Practice Address - Street 1:14 RODNEY DR APT D
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076-8054
Practice Address - Country:US
Practice Address - Phone:740-405-6719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker