Provider Demographics
NPI:1033603246
Name:WHIPKEY, DEBRA LOU
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LOU
Last Name:WHIPKEY
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 1:9417 HIGHVIEW ROCK CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-1657
Mailing Address - Country:US
Mailing Address - Phone:925-348-8053
Mailing Address - Fax:
Practice Address - Street 1:9417 HIGHVIEW ROCK CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1657
Practice Address - Country:US
Practice Address - Phone:925-348-8053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty