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Individual
MELINDA SUE WHITE
Active
Individual
MELINDA SUE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
134159
IA
363L00000X
Nurse Practitioner
C169399
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C169399
IA
363LP2300X
Primary Care Nurse Practitioner
C169399
IA
Other
Enumeration date
05/05/2022
Last updated
10/26/2022
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