White, Corliss Ann

White, Corliss Ann is an individual health care provider with primary practice located at 5471 Dr. Martin Luther King Drive , St Louis MO 63112-4265. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. White, Corliss Ann can be contacted via phone (314) 367-5820.

Contact Information

Primary practice address
5471 Dr. Martin Luther King Drive St Louis MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 62190 Missouri

Profile Details

NPI number 1962495085
LBN Legal business name White, Corliss Ann
Credentials RN MA BSN NHA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 18 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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