Individual
ANGELA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2018 JAMISON DRIVE, LAWRENCEBURG, IN 47025-8436
(812) 496-8773
(812) 637-1103
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006628A
IN
363L00000X
Nurse Practitioner
RN.368468
OH
363LF0000X
Family Nurse Practitioner
71006628A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71006628A
LICENSE
IN
Enumeration date
09/13/2016
Last updated
11/07/2024
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