Individual
MS. BETTY W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 SPAULDING RD STE 1, MARION, NC 28752-5116
(828) 652-7776
(828) 652-7807
Mailing address
652 DEEP WOODS DR, MARION, NC 28752-8250
(828) 652-8202
(828) 652-7507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201146
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201146
LICENSE NUMBER
NC
01
—
P00438202
RAILROAD RETIREMENT
NC
Enumeration date
04/14/2006
Last updated
04/23/2008
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