Individual
BRIAN C WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP
Contact information
Practice address
226 1/2 S UNION AVE UNIT 205, PUEBLO, CO 81003-3557
(719) 225-0637
Mailing address
PO BOX 8191, PUEBLO, CO 81008-8191
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0998492-NP
CO
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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