Individual
PETER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6610 SE QUAKERVALE RD, RIVERTON, KS 66770-4185
(620) 848-2300
(620) 848-2301
Mailing address
PO BOX 550, RIVERTON, KS 66770-0550
(620) 848-2300
(620) 848-2301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-75969-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525553
—
AZ
Enumeration date
06/04/2007
Last updated
06/04/2013
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