Provider Demographics
NPI:1669742508
Name:WHITENER, TRICIA (ARNP)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:WHITENER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 LANTERN BEND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2833
Mailing Address - Country:US
Mailing Address - Phone:281-444-3278
Mailing Address - Fax:832-249-3750
Practice Address - Street 1:411 LANTERN BEND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2833
Practice Address - Country:US
Practice Address - Phone:281-444-3278
Practice Address - Fax:832-249-3750
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX825049363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care