Provider Demographics
NPI:1902429079
Name:WHALEY, ANA CAROLINA (FNP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CAROLINA
Last Name:WHALEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:CAROLINA
Other - Last Name:ANGUIANO JAIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-834-3518
Mailing Address - Fax:760-834-7891
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-834-3518
Practice Address - Fax:760-834-7891
Is Sole Proprietor?:No
Enumeration Date:2020-05-24
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily