Provider Demographics
NPI:1780445379
Name:WHATLEY, AIMEE (NP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:24956 CR 40
Mailing Address - Street 2:
Mailing Address - City:LA SALLE
Mailing Address - State:CO
Mailing Address - Zip Code:80645
Mailing Address - Country:US
Mailing Address - Phone:970-584-0054
Mailing Address - Fax:
Practice Address - Street 1:1000 LINCOLN ST STE 101
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3290
Practice Address - Country:US
Practice Address - Phone:970-543-4390
Practice Address - Fax:970-867-4913
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0999791363LF0000X, 363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner