Healthcare Provider Details

I. General information

NPI: 1962329052
Provider Name (Legal Business Name): MARIA FRANCES WHALEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34244 143RD AVE E
MYAKKA CITY FL
34251-2420
US

IV. Provider business mailing address

34244 143RD AVE E
MYAKKA CITY FL
34251-2420
US

V. Phone/Fax

Practice location:
  • Phone: 941-504-2382
  • Fax:
Mailing address:
  • Phone: 941-504-2382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9586461
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: