Individual
MARSHANIEK WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1019 MAIN ST, BRIDGEPORT, CT 06604-4221
(332) 301-6945
Mailing address
1019 MAIN ST, BRIDGEPORT, CT 06604-4221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321685
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408007
NY
Other
Enumeration date
03/08/2016
Last updated
04/07/2026
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