Provider Demographics
NPI:1841893351
Name:IRVINE, WHITNEY WITT (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:WITT
Last Name:IRVINE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 KINGSDALE RD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-6934
Mailing Address - Country:US
Mailing Address - Phone:757-630-0093
Mailing Address - Fax:
Practice Address - Street 1:116 KINGSDALE RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-6934
Practice Address - Country:US
Practice Address - Phone:757-630-0093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180353363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily