White, Tamely D

White, Tamely D is an individual health care provider with primary practice located at 1141 N Road St Ste G, Elizabeth City NC 27909. 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, Tamely D can be contacted via phone (252) 335-5424.

Contact Information

Primary practice address
1141 N Road St Ste G Elizabeth City NC 27909
Phone: (252) 335-5424
Fax: (252) 335-1077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201621 North Carolina

Profile Details

NPI number 1740261445
LBN Legal business name White, Tamely D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 19th, 2017 - about 8 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 1740261445 NPPES
North Carolina Other 2319001 MEDICARE GROUP PTAN
North Carolina MEDICAID 5900660 MEDICARE GROUP PTAN

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