Provider Demographics
NPI:1174980221
Name:WHITNEY, DONALD LANE (CRNA)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:LANE
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 MAUNALANI PL
Mailing Address - Street 2:
Mailing Address - City:DIAMONDHEAD
Mailing Address - State:MS
Mailing Address - Zip Code:39525-4034
Mailing Address - Country:US
Mailing Address - Phone:985-515-2026
Mailing Address - Fax:
Practice Address - Street 1:3915 N ARNOULT RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1567
Practice Address - Country:US
Practice Address - Phone:985-438-9589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901402367500000X
LAAP08617367500000X
MERNA243050367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered