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Individual
MS. REBECCA L WHITE
Active
Individual
MS. REBECCA L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19355.0277
WY
363L00000X
Nurse Practitioner
NP-629A
ID
363LF0000X
Family Nurse Practitioner
100917
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN-5072
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP-100917
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123446300
—
WY
05
—
807242401
—
ID
Enumeration date
09/20/2006
Last updated
03/21/2025
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