White, Mary Diane
White, Mary Diane is an individual health care provider with primary practice located at 20011 Ballinger Way Ne Ste 202 , Shoreline WA 98155-1286. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Mary Diane can be contacted via phone (425) 806-8360.Contact Information
Primary practice address
20011 Ballinger Way Ne Ste 202
Shoreline WA 98155-1286
Phone: (425) 806-8360
Fax: (425) 250-8566
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30005666 | Washington |
Profile Details
NPI number | 1821089046 |
---|---|
LBN Legal business name | White, Mary Diane |
Credentials | MSN, ARNP, FNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 4th, 2005 |
Last updated | Apr 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821089046 | NPPES |
Washington | MEDICAID | 9638322 |
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