Individual
MARY E WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
105 PONDER CT STE 104, DANVILLE, KY 40422-9050
(859) 236-4216
(859) 238-9760
Mailing address
PO BOX 990, DANVILLE, KY 40423-0990
(859) 236-4216
(859) 238-9760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30412451
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100557730
—
KY
Enumeration date
07/10/2018
Last updated
12/04/2025
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