Mr Gary Wayne Whittle, RN BSN | |
77 Nealy Ave., 633rd Mdg/sghm, Joint Base Langley-eustis, VA 23665 | |
(757) 764-5246 | |
Not Available |
Full Name | Mr Gary Wayne Whittle |
---|---|
Gender | Male |
Speciality | Registered Nurse - Administrator |
Location | 77 Nealy Ave., Joint Base Langley-eustis, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356996276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1197143 (Virginia) | Secondary |
163WA2000X | Registered Nurse - Administrator | 1197143 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Gary Wayne Whittle, RN BSN 186 Green Kemp Rd, Virginia Beach, VA 23462-3409 Ph: (757) 449-1260 | Mr Gary Wayne Whittle, RN BSN 77 Nealy Ave., 633rd Mdg/sghm, Joint Base Langley-eustis, VA 23665 Ph: (757) 764-5246 |
Dr. Jessica Ballard, DNP, WHNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 Phone: 757-764-8290 |