White, Carrie Marie

White, Carrie Marie is an individual health care provider with primary practice located at 975 Solomons Island Rd N , Prince Frederick MD 20678-3917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. White, Carrie Marie can be contacted via phone (410) 535-5400.

Contact Information

Primary practice address
975 Solomons Island Rd N Prince Frederick MD 20678-3917
Fax: (410) 535-2220
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R193076 Maryland

Profile Details

NPI number 1235625096
LBN Legal business name White, Carrie Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2018
Last updated Apr 6th, 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 1235625096 NPPES
Maryland MEDICAID 182063000

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