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Individual

MRS. ANGELA J WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5009 RIVERCHASE DR, SUITE 500, PHENIX CITY, AL 36867-7490
(334) 448-9505
(334) 448-9575
Mailing address
5009 RIVERCHASE DR, SUITE 500, PHENIX CITY, AL 36867-7490
(334) 448-9505
(334) 448-9575

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-074021
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-074021
STATE OF ALABAMA NURSE PRACTITIONER LICENSE
AL
Enumeration date
09/19/2012
Last updated
09/19/2012
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