Individual
MRS. MARIE ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 SYLVESTER AVE, WINCHESTER, MA 01890-1553
(781) 729-9266
Mailing address
74 SYLVESTER AVE, WINCHESTER, MA 01890-1553
(781) 729-9266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78938
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706426
MA HEALTH PROVIDER NUMBER
MA
Enumeration date
04/03/2007
Last updated
07/08/2007
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