Individual
WESLEY MONTANA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
12720 CHERRY RD, VERMILION, OH 44089-9316
(440) 522-8641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.464170
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0037144
OH
Other
Enumeration date
12/05/2023
Last updated
07/25/2024
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