Organization
BARBARA A WHITE MSN CRNP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE SMITH (BILLING SUPERVISOR)
(301) 509-4091
Entity
Organization
Contact information
Practice address
13 C ST, SUITE G, LAUREL, MD 20707-4152
(301) 617-2767
Mailing address
13 C ST, SUITE G, LAUREL, MD 20707-4152
(301) 617-2767
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R136830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178901500
—
MD
Enumeration date
10/14/2011
Last updated
01/14/2019
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