Individual
SUSAN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106
(505) 272-2800
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87016
(505) 272-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
767807
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02283
NM
Other
Enumeration date
11/04/2010
Last updated
11/08/2013
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