Provider Demographics
NPI:1386491470
Name:BRINKER, WHITNEY (BSN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BRINKER
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 TOWNSHIP ROAD 1546
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-8522
Mailing Address - Country:US
Mailing Address - Phone:567-203-2134
Mailing Address - Fax:
Practice Address - Street 1:990 TOWNSHIP ROAD 1546
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8522
Practice Address - Country:US
Practice Address - Phone:567-203-2134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.480082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse