Provider Demographics
NPI:1255982666
Name:DORESTE, WHITNEE ELAINE
Entity type:Individual
Prefix:
First Name:WHITNEE
Middle Name:ELAINE
Last Name:DORESTE
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 1:8717 WHITE SWAN DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2314
Mailing Address - Country:US
Mailing Address - Phone:904-703-4295
Mailing Address - Fax:
Practice Address - Street 1:8717 WHITE SWAN DR UNIT 201
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2314
Practice Address - Country:US
Practice Address - Phone:904-703-4295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula