Individual
CRYSTAL DANIELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W HEFNER RD, OKLAHOMA CITY, OK 73114-6631
(405) 896-8058
(552) 231-9998
Mailing address
101 W HEFNER RD, OKLAHOMA CITY, OK 73114-6631
(405) 896-8058
(552) 231-9998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86527
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200768690A
—
OK
Enumeration date
06/05/2015
Last updated
03/07/2023
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