Healthcare Provider Details

I. General information

NPI: 1932031374
Provider Name (Legal Business Name): BRITTNEE ANN WHETSELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

465751 E 790 RD
STILWELL OK
74960-3680
US

IV. Provider business mailing address

465751 E 790 RD
STILWELL OK
74960-3680
US

V. Phone/Fax

Practice location:
  • Phone: 918-575-5068
  • Fax:
Mailing address:
  • Phone: 918-575-5068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: