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Individual

MRS. CHERIL MARIE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7330 E 82ND ST, INDIANAPOLIS, IN 46256-1465
(800) 683-8313
Mailing address
7330 E 82ND ST, INDIANAPOLIS, IN 46256-1465

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001071A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71001071A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200230620
IN
Enumeration date
05/12/2006
Last updated
09/15/2022
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