Healthcare Provider Details

I. General information

NPI: 1841028891
Provider Name (Legal Business Name): WHITNEY E STITZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WHITNEY WILSON

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 S PRINCE PL
LITTLETON CO
80123-7813
US

IV. Provider business mailing address

PO BOX 173656
DENVER CO
80217-3656
US

V. Phone/Fax

Practice location:
  • Phone: 720-822-3899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPN.1002074-CRNA
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1659742
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: