Individual
MRS. HEATHER RACHEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
571 E TWINSBURG RD, NORTHFIELD, OH 44067-2853
(216) 408-0597
Mailing address
571 E TWINSBURG RD, NORTHFIELD, OH 44067-2853
(216) 408-0597
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
122018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0719045317
—
OH
Enumeration date
03/15/2017
Last updated
03/15/2017
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