Individual
ELIZABETH M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3500 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87106-1215
(505) 263-2744
Mailing address
5995 CORRALES RD, CORRALES, NM 87048-8793
(505) 263-2744
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-01517
NM
363LF0000X
Family Nurse Practitioner
CNP-01517
NM
Other
Enumeration date
08/27/2009
Last updated
11/18/2022
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