# SEBASTIAN C. WHITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417028853
- **Gender:** Man
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | NUR-APRN-LIC-100620 | MT | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 04/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000371191 | BCBSMT | MT |
| 05 | — | 0089080 | — | MT |