White, Betty J

White, Betty J is an individual health care provider with primary practice located at 1519 3Rd St Se Ste 230 , Puyallup WA 98372. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. White, Betty J can be contacted via phone (253) 841-8640.

Contact Information

Primary practice address
1519 3Rd St Se Ste 230 Puyallup WA 98372
Phone: (253) 841-8640
Fax: (583) 841-7645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN00115014 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30006706 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30006706 Washington

Profile Details

NPI number 1093792285
LBN Legal business name White, Betty J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 11th, 2020 - about 6 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 1093792285 NPPES
Washington MEDICAID 1002270

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