Individual
SHONTA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3149 LINCOLN HWY, THORNDALE, PA 19372-1129
(610) 857-3445
Mailing address
3206 STONEHAM DR, WEST CHESTER, PA 19382-6644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024883
PA
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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