Individual
PATRICIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1351 MAIN ST, BROCKTON, MA 02401
(508) 586-1710
(508) 586-8353
Mailing address
1 COMPASS WAY, SUITE 210, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UX6803
MEDICARE PTAN
MA
Enumeration date
07/17/2006
Last updated
05/16/2008
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