Individual
BETHANY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4123 DUTCHMANS LANE, SUITE 515, LOUISVILLE, KY 40207-4730
(502) 899-6907
(502) 899-6905
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010402
KY
Other
Enumeration date
11/22/2016
Last updated
11/05/2019
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