Healthcare Provider Details

I. General information

NPI: 1558697466
Provider Name (Legal Business Name): PAMELA J WHALEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA J SANS ARNP

II. Dates (important events)

Enumeration Date: 10/28/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 7TH ST N
NAPLES FL
34102-5754
US

IV. Provider business mailing address

311 9TH ST N STE 100 SUITE 103
NAPLES FL
34102-5886
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-8250
  • Fax: 239-624-8251
Mailing address:
  • Phone: 239-624-8250
  • Fax: 239-430-7824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9180733
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: