Individual
MARY E WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
Mailing address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75205-122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200679640A
—
KS
01
—
75205
STATE LICENSE
KS
Enumeration date
09/03/2010
Last updated
01/26/2022
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