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Individual

CALLIE CAROLEA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
140 W 4TH ST, SAINT ANSGAR, IA 50472-1352
(641) 736-4401
Mailing address
140 W 4TH ST, SAINT ANSGAR, IA 50472-1352
(641) 736-4401

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A119391
IA
363LF0000X
Family Nurse Practitioner
Primary
A119391
IA

Other

Enumeration date
01/28/2019
Last updated
05/19/2021
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