Provider Demographics
NPI:1538415062
Name:GIBBS WHALEY, ISELA ELIZABETH (ICCE, CD)
Entity type:Individual
Prefix:MRS
First Name:ISELA
Middle Name:ELIZABETH
Last Name:GIBBS WHALEY
Suffix:
Gender:F
Credentials:ICCE, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 TIMBER BAY CIR E
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4325
Mailing Address - Country:US
Mailing Address - Phone:813-966-8905
Mailing Address - Fax:
Practice Address - Street 1:653 TIMBER BAY CIR E
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-4325
Practice Address - Country:US
Practice Address - Phone:813-966-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula