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Individual
MRS. CAROL ANN WHITE
Active
Individual
MRS. CAROL ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ANPC, RN, GNPC,
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001032A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71001032A
IN
363LG0600X
Gerontology Nurse Practitioner
71001032B
IN
Other
Enumeration date
01/11/2006
Last updated
05/29/2015
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