Individual
MRS. MONICA LENA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
404 COURTHOUSE DR, SALMON, ID 83467-3341
(208) 993-3479
Mailing address
209 PHEASANT RD, SALMON, ID 83467-5186
(208) 561-1012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57212
ID
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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