Provider Demographics
NPI:1699313932
Name:ARMSTRONG, WHITNEY ALYEXANDRIA
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ALYEXANDRIA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N 28TH ST APT 527
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-3929
Mailing Address - Country:US
Mailing Address - Phone:678-522-4180
Mailing Address - Fax:
Practice Address - Street 1:401 N 28TH ST APT 527
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-3929
Practice Address - Country:US
Practice Address - Phone:678-522-4180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV16054181773747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant