Provider Demographics
NPI:1538755954
Name:DULA, WHITNEY NICOLE (CBS)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:NICOLE
Last Name:DULA
Suffix:
Gender:F
Credentials:CBS
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:NICOLE
Other - Last Name:WALTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13086 SALFORD TER
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-6132
Mailing Address - Country:US
Mailing Address - Phone:240-472-7848
Mailing Address - Fax:240-473-3889
Practice Address - Street 1:13086 SALFORD TER
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-6132
Practice Address - Country:US
Practice Address - Phone:240-472-7848
Practice Address - Fax:240-473-3889
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN