Individual
MATTHEW JOHN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1116
Mailing address
1466 12TH AVE, SAN FRANCISCO, CA 94122-3502
(601) 307-7856
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21107
CA
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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