Provider Demographics
NPI:1528943313
Name:WHIGHAM, RUDENA BARRERA (APRN)
Entity type:Individual
Prefix:
First Name:RUDENA
Middle Name:BARRERA
Last Name:WHIGHAM
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13119 HEMING WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-2725
Mailing Address - Country:US
Mailing Address - Phone:863-399-2734
Mailing Address - Fax:
Practice Address - Street 1:13119 HEMING WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-2725
Practice Address - Country:US
Practice Address - Phone:863-399-2734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041565363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health