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Individual
KIMBERLY WHITE
Active
Individual
KIMBERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP, DNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704174164
MI
363L00000X
Nurse Practitioner
APRN001566
NV
363LA2200X
Adult Health Nurse Practitioner
4704174164
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN001566
NV
Other
Enumeration date
10/02/2007
Last updated
11/04/2022
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