Individual
TERESA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
4419 W SPENCER PL, MILWAUKEE, WI 53216-2450
(414) 871-7038
Mailing address
4419 W SPENCER PL, MILWAUKEE, WI 53216-2450
(414) 871-7038
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
118471-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38331700
—
WI
Enumeration date
02/17/2009
Last updated
02/17/2009
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