Individual
MICHELLE ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 771-3704
(928) 771-0434
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5874
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235858
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035
—
AZ
01
—
AP235858
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
12/06/2019
Last updated
03/07/2023
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