Provider Demographics
NPI:1699262519
Name:WHISLER, RHIANNON JOY (NP-C)
Entity type:Individual
Prefix:MS
First Name:RHIANNON
Middle Name:JOY
Last Name:WHISLER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6366 W SAINT JOHN AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3620
Mailing Address - Country:US
Mailing Address - Phone:602-726-9781
Mailing Address - Fax:
Practice Address - Street 1:18555 N 79TH AVE STE D101
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6040
Practice Address - Country:US
Practice Address - Phone:602-726-9781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN131627163W00000X
AZAP11355363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse