Individual
MRS. NANCY M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 E 89TH AVE, MERRILLVILLE, IN 46410-7318
(219) 738-4926
(219) 738-4931
Mailing address
200 E 89TH AVE, MERRILLVILLE, IN 46410-7318
(219) 738-4926
(219) 738-4931
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001920A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509599
ANTHEM
IN
Enumeration date
06/01/2006
Last updated
03/28/2008
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