Individual
RAVEN D WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770306219
EMPOWERHEALTH CHW
MI
Enumeration date
04/17/2026
Last updated
04/17/2026
Update your record
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