Healthcare Provider Details

I. General information

NPI: 1770906000
Provider Name (Legal Business Name): DOROTHY A WHITTINGTON WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2014
Last Update Date: 12/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PILOT MEDICAL DR SUITE 200
BIRMINGHAM AL
35235-3411
US

IV. Provider business mailing address

100 PILOT MEDICAL DR SUITE 200
BIRMINGHAM AL
35235-3411
US

V. Phone/Fax

Practice location:
  • Phone: 205-856-1117
  • Fax: 205-856-6117
Mailing address:
  • Phone: 205-856-1117
  • Fax: 205-856-6117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1-111410
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: