White, Anna Marie

White, Anna Marie is an individual health care provider with primary practice located at 1100 North College Avenue , Fayetteville AR 72703. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. White, Anna Marie can be contacted via phone (479) 443-4301.

Contact Information

Primary practice address
1100 North College Avenue Fayetteville AR 72703
Phone: (479) 443-4301
Fax: (479) 587-5889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-240 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-240 Arkansas

Profile Details

NPI number 1083719181
LBN Legal business name White, Anna Marie
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Feb 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083719181 NPPES
Arkansas Other 710685433 TAX ID
Arkansas Other PA-240 TAX ID

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