Provider Demographics
NPI:1265963581
Name:WHITTIER, MISHAELA SIREE (DO)
Entity type:Individual
Prefix:DR
First Name:MISHAELA
Middle Name:SIREE
Last Name:WHITTIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MISHAELA
Other - Middle Name:SIREE
Other - Last Name:MORRATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1919 LATHROP ST STE 222
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-5942
Mailing Address - Country:US
Mailing Address - Phone:907-456-8191
Mailing Address - Fax:
Practice Address - Street 1:1919 LATHROP ST STE 222
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5942
Practice Address - Country:US
Practice Address - Phone:907-456-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02005913A207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program