Individual provider · Type 1 NPI

Phyllis L. Whaley, FNP-C

Nurse Practitioner · Bettendorf, IA

NPI number 1780407601 Active

Practice location

2535 Maplecrest Rd
Bettendorf, IA 52722-7709

Mailing address

1351 W Central Park Ave Ste 4100
Davenport, IA 52804-1847

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XA181009 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780407601

Phyllis L. Whaley, FNP-C's National Provider Identifier is 1780407601, issued on Nov 7, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bettendorf, IA. The record was last updated on Jul 11, 2025.