Individual
CATHERINE ALICE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825-1619
(260) 484-8830
(260) 266-2514
Mailing address
3448 COUNTY ROAD 41, WATERLOO, IN 46793-9519
(260) 402-8173
(260) 927-8026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28136952A
IN
363L00000X
Nurse Practitioner
Primary
71004058A
IN
Other
Enumeration date
07/18/2012
Last updated
11/06/2023
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