Organization
LISA WHITE PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E WHITE PMHNP (SOLE OWNER)
(857) 205-6634
Entity
Organization
Contact information
Practice address
133 FALMOUTH RD STE F, MASHPEE, MA 02649-2611
(857) 205-6634
Mailing address
151 GREAT PINES DR, MASHPEE, MA 02649-3415
(857) 205-6634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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