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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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