Individual
SUSAN G WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
(804) 783-2514
Mailing address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
(804) 783-2514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024040152
VA
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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