Individual
MICHAELA A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
822 PINE ST STE 2A, PHILADELPHIA, PA 19107-6187
(844) 337-6362
(267) 519-0597
Mailing address
23 S WOODRIDGE DR, WARRINGTON, PA 18976-1027
(215) 431-7699
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA065255
PA
Other
Enumeration date
11/21/2023
Last updated
09/23/2024
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