Healthcare Provider Details
I. General information
NPI: 1154466241
Provider Name (Legal Business Name): PAMELA A. OAKLEY-WHITING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/20/2007
Last Update Date: 02/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16240 BENNETT RD
CULPEPER VA
22701-4630
US
IV. Provider business mailing address
PO BOX 9007
CHARLOTTESVILLE VA
22906-9007
US
V. Phone/Fax
- Phone: 540-825-5951
- Fax: 540-825-5971
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 001713519 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 001713519 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024165038 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: