Individual
SANDRA J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
285 RED BUD LN, BLOUNTVILLE, TN 37617-4035
(423) 857-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000099270
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3624326
—
TN
Enumeration date
05/12/2006
Last updated
07/08/2007
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