Individual
MRS. AMANDA JANE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, CDCES
Contact information
Practice address
359 COURT ST S, LEWISBURG, WV 24901-2046
(248) 444-3137
Mailing address
359 COURT ST S, LEWISBURG, WV 24901-2046
(248) 444-3137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704221100
MI
163W00000X
Registered Nurse
96341
WV
163WD0400X
Diabetes Educator Registered Nurse
21600468
WV
363LF0000X
Family Nurse Practitioner
Primary
107083
WV
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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