Individual
CLARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2112 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 544-3059
(717) 544-3638
Mailing address
2112 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 544-3059
(717) 544-3638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009661
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1570098
GATEWAY
PA
01
—
50075051
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
793247
HEALTHAMERICA
PA
Enumeration date
01/15/2008
Last updated
09/30/2016
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