Individual
KRISTEN ESTHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
25631 LITTLE MACK AVE STE 203, SAINT CLAIR SHORES, MI 48081-2108
(586) 443-2360
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704281156
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704281156
MI
Other
Enumeration date
08/21/2016
Last updated
01/17/2025
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