White, Ava M

White, Ava M is an individual health care provider with primary practice located at 809 South Long Drive Suite G, Rockingham NC 28379-4375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Ava M can be contacted via phone (910) 997-3733.

Contact Information

Primary practice address
809 South Long Drive Suite G Rockingham NC 28379-4375
Phone: (910) 997-3733
Fax: (910) 997-3707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200319 North Carolina

Profile Details

NPI number 1366472870
LBN Legal business name White, Ava M
Credentials FNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Mar 7th, 2023 - about 2 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 1366472870 NPPES
North Carolina Other 200319 LICENSE
North Carolina MEDICAID 7000107 LICENSE

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