Healthcare Provider Details

I. General information

NPI: 1437517612
Provider Name (Legal Business Name): SHEA ELIZABETH WHISNER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

371 MIDDLETOWN RD
NEW STANTON PA
15672-1179
US

IV. Provider business mailing address

PMB 142 8865 NORWIN AVE STE 27
NORTH HUNTINGDON PA
15642
US

V. Phone/Fax

Practice location:
  • Phone: 724-382-7168
  • Fax:
Mailing address:
  • Phone: 724-382-7168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015789
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: