Individual
CAROLYN KAY WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5901 WESTOWN PKWY, WEST DES MOINES, IA 50266-8218
(515) 221-9222
(515) 221-0575
Mailing address
5901 WESTOWN PKWY, WEST DES MOINES, IA 50266-8297
(515) 221-9222
(515) 221-0575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-038634
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01134718
—
IA
01
—
50171
WELLMARK GROUP #
IA
Enumeration date
02/08/2006
Last updated
07/08/2007
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