Individual
LEAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(176) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2335437
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2335437
MA
Other
Enumeration date
07/22/2020
Last updated
04/16/2021
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