Individual
OLLIE CHRISTINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304-1210
(304) 388-9950
Mailing address
308 FOREST CIR, SOUTH CHARLESTON, WV 25303-1922
(202) 549-2253
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
68879
NM
Other
Enumeration date
03/31/2022
Last updated
07/10/2022
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