White, Ellen M

White, Ellen M is an individual health care provider with primary practice located at 1601 Nw 12Th Ave , Miami FL 33101-6960. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. White, Ellen M can be contacted via phone (305) 243-4029.

Contact Information

Primary practice address
1601 Nw 12Th Ave Miami FL 33101-6960
Phone: (305) 243-4029
Fax: (305) 243-8470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X ARNP925232 Florida

Profile Details

NPI number 1790710663
LBN Legal business name White, Ellen M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 20th, 2012 - about 12 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 1790710663 NPPES
Florida MEDICAID 3056171-00

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