Provider Demographics
NPI:1932084423
Name:OGDEN, WHITNEY RIVETT
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RIVETT
Last Name:OGDEN
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 1:26665 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-5934
Mailing Address - Country:US
Mailing Address - Phone:225-939-2354
Mailing Address - Fax:225-939-2354
Practice Address - Street 1:26665 EVELYN DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5934
Practice Address - Country:US
Practice Address - Phone:225-939-2354
Practice Address - Fax:225-939-2354
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA241875363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty