Provider Demographics
NPI:1780321307
Name:DELUNA, WHITNEY RENEE (FNP-C)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RENEE
Last Name:DELUNA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19727 BIG DIOMEDE CIR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-8784
Mailing Address - Country:US
Mailing Address - Phone:469-610-7146
Mailing Address - Fax:
Practice Address - Street 1:3719 E MERIDIAN LOOP STE F
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7273
Practice Address - Country:US
Practice Address - Phone:907-373-5940
Practice Address - Fax:907-373-5947
Is Sole Proprietor?:No
Enumeration Date:2022-05-16
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK191761363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care