Individual
SAUNDRA H WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 527-1496
(270) 527-5321
Mailing address
267 SLICKBACK RD, BENTON, KY 42025-7629
(270) 527-1496
(270) 527-5321
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2963P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11479929
CAQH
KY
05
—
20079018
—
KY
01
—
2963P
STATE LICENSE
KY
Enumeration date
09/25/2006
Last updated
08/17/2015
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