Individual
CARLOTTA TAYLOR-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN APN BC
Contact information
Practice address
969 N MASON RD, STE 160, SAINT LOUIS, MO 63141-6338
(314) 996-3434
(314) 996-3433
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-3434
(314) 996-3433
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041-069988
IL
163WG0000X
General Practice Registered Nurse
126962
MO
363L00000X
Nurse Practitioner
209-003181
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
126962
MO
Other
Enumeration date
08/30/2006
Last updated
10/15/2014
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