Individual
MRS. PANDORA LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
2515 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1736
(612) 354-2629
(612) 354-2740
Mailing address
2515 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1736
(612) 354-2629
(612) 354-2740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1127607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765523100
—
MN
Enumeration date
05/01/2006
Last updated
02/12/2026
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