White, Nancy L.

White, Nancy L. is an individual health care provider with primary practice located at 36 N Country Club Dr , Phoenix AZ 85014-5441. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse First Assistant. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. White, Nancy L. can be contacted via phone (602) 279-1384.

Contact Information

Primary practice address
36 N Country Club Dr Phoenix AZ 85014-5441
Phone: (602) 279-1384
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN069170 Arizona
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X AP1855 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1855 Arizona

Profile Details

NPI number 1811919806
LBN Legal business name White, Nancy L.
Credentials NP-C, CRNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Nov 3rd, 2015 - about 9 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 1811919806 NPPES
Arizona MEDICAID 852237

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