Provider Demographics
NPI:1972214047
Name:WHALEY, ASHLEIGH BROOKE (RN)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:BROOKE
Last Name:WHALEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 UNIVERSITY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6260
Mailing Address - Country:US
Mailing Address - Phone:919-433-0170
Mailing Address - Fax:919-226-0026
Practice Address - Street 1:3608 UNIVERSITY DR STE 101
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6260
Practice Address - Country:US
Practice Address - Phone:919-433-0170
Practice Address - Fax:919-226-0026
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC290570163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse