Individual
KATHLEEN A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-0001
(253) 968-0903
(253) 968-0100
Mailing address
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-0001
(253) 968-0903
(253) 968-0100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30003426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9626508
—
WA
Enumeration date
12/01/2005
Last updated
06/03/2014
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