Provider Demographics
NPI:1053781971
Name:WHALEN, ROISIN MAY
Entity type:Individual
Prefix:
First Name:ROISIN
Middle Name:MAY
Last Name:WHALEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 CUMBERLAND ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1544
Mailing Address - Country:US
Mailing Address - Phone:206-335-8168
Mailing Address - Fax:
Practice Address - Street 1:90 CUMBERLAND ST APT 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1544
Practice Address - Country:US
Practice Address - Phone:206-335-8168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula