Individual
HEATHER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CSN
Contact information
Practice address
60 FREDONIA RD, GREENVILLE, PA 16125-7901
(724) 588-2500
(724) 588-5036
Mailing address
60 FREDONIA RD, GREENVILLE, PA 16125-7901
(724) 588-2500
(724) 588-5036
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN530652L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
SCHOOL- NO INSURANCES
PA
Enumeration date
05/16/2019
Last updated
05/16/2019
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