Provider Demographics
NPI:1831589092
Name:COLELLA, WHITNEY ELAN (PA-C)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:ELAN
Last Name:COLELLA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N COALTER ST STE 19
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2566
Mailing Address - Country:US
Mailing Address - Phone:636-485-1025
Mailing Address - Fax:
Practice Address - Street 1:1600 N COALTER ST STE 19
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2566
Practice Address - Country:US
Practice Address - Phone:636-485-1025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1124723OtherNCCPA ID