Individual
AUDREY OLIVIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
12150 ANNAPOLIS RD STE 105, GLENN DALE, MD 20769-9183
(240) 460-1988
(301) 805-2076
Mailing address
12150 ANNAPOLIS RD STE 105, GLENN DALE, MD 20769-9183
(240) 460-1988
(301) 805-0795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R110790
MD
Other
Enumeration date
10/26/2018
Last updated
09/04/2022
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