Individual
CARLA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 N 12TH AVE, DURANT, OK 74701-4718
(580) 924-6363
(580) 924-0379
Mailing address
PO BOX 563, BOSWELL, OK 74727-0563
(580) 924-6363
(580) 924-0379
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0027792
OK
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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