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Individual

MS. CHERYL D WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
311 PARKKNOLL LN, CARY, NC 27519-6617
(919) 387-1551
Mailing address
311 PARKKNOLL LN, CARY, NC 27519-6617
(919) 387-1553

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
035709
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
562014989
TRICARE
NC
05
6907604
NC
Enumeration date
06/02/2006
Last updated
05/21/2010
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