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Individual
CHANDRA LYNN WHITE
Active
Individual
CHANDRA LYNN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP2259
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R160948-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558618884
—
MI
05
—
1558618884
—
MN
05
—
1558618884
—
WI
Enumeration date
08/06/2012
Last updated
09/17/2024
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