Individual provider · Type 1 NPI
Derek Whalen, PA-C
Medical Physician Assistant · Waxhaw, NC
NPI number
1215545934
Active
Practice location
1621 Providence Rd S Ste 370
Waxhaw, NC 28173-8331
Fax (704) 520-7099
Mailing address
4705 University Dr Bldg 700
Durham, NC 27707-3489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 0010-13935 (NC) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Waxhaw
About NPI 1215545934
Derek Whalen, PA-C's National Provider Identifier is 1215545934, issued on Jul 20, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waxhaw, NC. The record was last updated on Dec 5, 2024.