Individual
REBECCA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-4101
(202) 976-8003
(320) 297-6700
Mailing address
1400 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-4101
(320) 297-6800
(320) 297-6700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1672563
MN
363LF0000X
Family Nurse Practitioner
Primary
52
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821345844
—
MN
01
—
H401132214
MEDICARE
MN
Enumeration date
08/08/2012
Last updated
08/23/2024
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