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Individual

SAUNDRA H WHITE

Active
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Individual

SAUNDRA H WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

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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