Individual
MRS. MONICA SUE ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS, -ACNP
Contact information
Practice address
1300 N 4TH ST, LONGVIEW, TX 75601-4717
(903) 757-2122
(903) 757-9475
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
541465
TX
363LA2100X
Acute Care Nurse Practitioner
AP106743
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181161401
—
TX
05
—
181161402
—
TX
01
—
P01752671
RAILROAD
TX
Enumeration date
07/31/2006
Last updated
09/14/2024
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