Individual
NICHOLE RENEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3536 W GLENDALE AVE, PHOENIX, AZ 85051-8395
(480) 618-0177
(620) 371-2243
Mailing address
4390 MONTGOMERY RD, ELLICOTT CITY, MD 21043-6068
(410) 203-1171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2264405
MA
363LF0000X
Family Nurse Practitioner
Primary
255867
AZ
363LF0000X
Family Nurse Practitioner
R210152
MD
363LF0000X
Family Nurse Practitioner
RN2264405
MA
Other
Enumeration date
01/10/2011
Last updated
04/03/2026
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