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Individual

KATHERINE J. WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4277 W FAIRWAY DR, COEUR D ALENE, ID 83815-9094
(602) 299-6366
Mailing address
4277 W FAIRWAY DR, COEUR D ALENE, ID 83815-9094
(602) 299-6366

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN138584
AZ
207Q00000X
Family Medicine Physician
8971084
ID
207Q00000X
Family Medicine Physician
Primary
AP61307467
WA
363LF0000X
Family Nurse Practitioner
Primary
251761
AZ

Other

Enumeration date
02/11/2020
Last updated
02/18/2026
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