Individual
LINDA NELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
751 LUCKENBACH CAIN-CITY RD., FREDERICKSBURG, TX 78624-7862
(956) 245-8603
Mailing address
PO BOX 1411, FREDERICKSBURG, TX 78624-1411
(956) 245-8603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
518582
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
054588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156434610
—
TX
01
—
156434611
CSHCN
TX
01
—
88869U
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
11/03/2006
Last updated
11/09/2022
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