Provider Demographics
NPI:1538792593
Name:ELSWICK, WHITNEY ANNE (FNP-C)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ANNE
Last Name:ELSWICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 ANCHOR WATCH DR
Mailing Address - Street 2:
Mailing Address - City:WADMALAW ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29487-7125
Mailing Address - Country:US
Mailing Address - Phone:843-901-0740
Mailing Address - Fax:
Practice Address - Street 1:2815 ANCHOR WATCH DR
Practice Address - Street 2:
Practice Address - City:WADMALAW ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29487-7125
Practice Address - Country:US
Practice Address - Phone:843-901-0740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23304363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner