Individual
MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
512 SW LEE BLVD, LAWTON, OK 73501-5711
(580) 250-6541
(580) 250-6543
Mailing address
PO BOX 2309, LAWTON, OK 73502-2309
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
0108815
OK
363LF0000X
Family Nurse Practitioner
Primary
220304
OK
Other
Enumeration date
02/13/2018
Last updated
10/31/2024
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