White-Walker, Shirley M

White-Walker, Shirley M is an individual health care provider with primary practice located at 741 Broadway , Newark NJ 07104-4309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. White-Walker, Shirley M can be contacted via phone (973) 675-1900.

Contact Information

Primary practice address
741 Broadway Newark NJ 07104-4309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 25ME00038 New Jersey

Profile Details

NPI number 1780695429
LBN Legal business name White-Walker, Shirley M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 7th, 2023 - about last year

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 1780695429 NPPES
New Jersey MEDICAID 1644807

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