Provider Demographics
NPI:1881423689
Name:ANGELA WHITTAKER AUDIOLOGY AND HEARING AIDS, LLC
Entity type:Organization
Organization Name:ANGELA WHITTAKER AUDIOLOGY AND HEARING AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTAKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:775-561-4327
Mailing Address - Street 1:6490 S MCCARRAN BLVD STE 29
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6124
Mailing Address - Country:US
Mailing Address - Phone:775-561-4327
Mailing Address - Fax:775-686-6160
Practice Address - Street 1:6490 S MCCARRAN BLVD STE 29
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6124
Practice Address - Country:US
Practice Address - Phone:775-561-4327
Practice Address - Fax:775-686-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty