Healthcare Provider Details

I. General information

NPI: 1487569364
Provider Name (Legal Business Name): HALEY WHITT DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 SAINT PAUL ST
BALTIMORE MD
21202-2001
US

IV. Provider business mailing address

4012 MORNINGWOOD DR
OLNEY MD
20832-2264
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR239088
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: