Individual
NANCY L. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, CRNFA
Contact information
Practice address
36 N COUNTRY CLUB DR, PHOENIX, AZ 85014-5441
(602) 279-1384
Mailing address
36 N COUNTRY CLUB DR, PHOENIX, AZ 85014-5441
(602) 279-1384
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
AP1855
AZ
363LF0000X
Family Nurse Practitioner
AP1855
AZ
363LF0000X
Family Nurse Practitioner
Primary
RN069170
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852237
—
AZ
Enumeration date
07/25/2006
Last updated
11/03/2015
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