Individual
CAROL ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5601 W SLAUSON AVE STE 234, CULVER CITY, CA 90230-3402
(106) 709-3443
(310) 670-9376
Mailing address
5601 W SLAUSON AVE STE 234, CULVER CITY, CA 90230-3402
(106) 709-3443
(310) 670-9376
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP8480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0084800
—
CA
Enumeration date
02/14/2007
Last updated
03/12/2021
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