Provider Demographics
NPI:1356731384
Name:PRICE, WHITNEY M (PAC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:M
Last Name:PRICE
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:STRACKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3545 NW 58TH ST
Mailing Address - Street 2:STE 450
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4726
Mailing Address - Country:US
Mailing Address - Phone:405-951-4370
Mailing Address - Fax:405-949-9120
Practice Address - Street 1:3433 NW 56TH ST
Practice Address - Street 2:STE 660
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4455
Practice Address - Country:US
Practice Address - Phone:405-947-3341
Practice Address - Fax:405-917-3542
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2461363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant