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Individual

MRS. MICHELE LYNN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7780 S BROADWAY, SUITE 350, LITTLETON, CO 80122-2648
(303) 734-8650
(303) 734-8653
Mailing address
7780 S BROADWAY, SUITE 350, LITTLETON, CO 80122-2648
(303) 734-8650
(303) 734-8653

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69479
CO
363L00000X
Nurse Practitioner
Primary
NP 5783
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73434256
CO
Enumeration date
09/17/2008
Last updated
06/29/2010
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