Provider Demographics
NPI:1114716644
Name:WHALEY, ALISHA (BSN, RN)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:WHALEY
Suffix:
Gender:
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6957 WOOD LILY DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-8822
Mailing Address - Country:US
Mailing Address - Phone:719-231-5350
Mailing Address - Fax:
Practice Address - Street 1:6957 WOOD LILY DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-8822
Practice Address - Country:US
Practice Address - Phone:719-231-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1697316163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse