Individual
LORI DENISE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HWY 160 163 BLDG KA2010, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4020
Mailing address
PO BOX 368, HWY 160 163 BLDG KA2010, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113836
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
07/02/2009
Last updated
07/02/2009
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