White, Audrey Maryanne
White, Audrey Maryanne is an individual health care provider with primary practice located at 2820 W Charleston Blvd Ste 1 , Las Vegas NV 89102-1942. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. White, Audrey Maryanne can be contacted via phone (725) 726-7847.Contact Information
Primary practice address
2820 W Charleston Blvd Ste 1
Las Vegas NV 89102-1942
Phone: (725) 726-7847
Fax: (725) 726-7876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 0062 | Nevada |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0062 | Nevada |
Profile Details
| NPI number | 1386754893 |
|---|---|
| LBN Legal business name | White, Audrey Maryanne |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 29th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386754893 | NPPES |
| Nevada | Other | 0062 | LICENSE# |
| Nevada | MEDICAID | 1386754893 | LICENSE# |
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