Individual
MRS. DIANNA KAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 SO CO RD 1129, MIDLAND, TX 79706-4853
(432) 620-8515
(432) 620-8515
Mailing address
1301 SO CO RD 1129, MIDLAND, TX 79706-4853
(432) 620-8515
(432) 620-8515
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
633015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCP024518
—
TX
Enumeration date
12/14/2006
Last updated
07/08/2007
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