Individual
CHRISHANDIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1410 LYON AVE, WATERLOO, IA 50702-3440
(319) 429-2640
Mailing address
1410 LYON AVE, WATERLOO, IA 50702-3440
(319) 429-2640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P57956
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/30/2021
Last updated
07/30/2021
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