White, Misty M

White, Misty M is an individual health care provider with primary practice located at 329 Mclaws Cir , Williamsburg VA 23185-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Misty M can be contacted via phone (757) 220-8579.

Contact Information

Primary practice address
329 Mclaws Cir Williamsburg VA 23185-6337
Phone: (757) 220-8579
Fax: (757) 220-0686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164785 Virginia

Profile Details

NPI number 1982634085
LBN Legal business name White, Misty M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 4th, 2020 - about 4 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 1982634085 NPPES
Virginia Other 541374556 CHAMPUS
Virginia Other 41212N CHAMPUS
Virginia Other 142097 CHAMPUS
Virginia Other 1982634085 CHAMPUS
Virginia Other 142097 CHAMPUS
Virginia Other 541374556 CHAMPUS
Virginia MEDICAID 7781237 CHAMPUS

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