Basic Information
| Provider Information | |||||||||
| NPI: | 1750856951 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAHL | ||||||||
| FirstName: | WHITNEY | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2350 INTERNATIONAL CIR | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809103139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194755065 | ||||||||
| FaxNumber: | 7194755797 | ||||||||
| Practice Location | |||||||||
| Address1: | 2350 INTERNATIONAL CIR | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809103139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194755065 | ||||||||
| FaxNumber: | 7194755797 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2018 | ||||||||
| LastUpdateDate: | 10/04/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0994187 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.