Individual
MS. DIANNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 590-8935
Mailing address
10 ROSE RUN, LAMBERTVILLE, NJ 08530-3522
(609) 773-0050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR07393100
NJ
Other
Enumeration date
07/27/2009
Last updated
09/08/2009
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