Individual
MS. BRITTANY L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 724-7673
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3468
WI
363A00000X
Physician Assistant
Primary
PA2021-0125
NM
363AM0700X
Medical Physician Assistant
4718
CT
Other
Enumeration date
01/16/2015
Last updated
02/18/2022
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