Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renata Whitlock, PA-C

Individual provider Family Medicine Physician · NPI 1912410309

Renata Whitlock, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3330 N 2nd St Ste 601
Phoenix, AZ 85012-2395
Phone: (602) 230-7373
Fax: (602) 230-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3033 N Central Ave Ste 700, Phoenix, AZ 85012-2806 — (602) 230-7373
  • 3620 N 3rd St, Phoenix, AZ 85012-2020 — (602) 230-7373

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6790 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 6790 (AZ)

Record details

NPI number1912410309
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2017
Last updated in NPPESDecember 4, 2023
Certification dateMarch 28, 2022
Mailing address3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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