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Individual

MRS. ALEITA ELLEN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN NP C

Contact information

Practice address
3500 W SLAUGHTER LN, AUSTIN, TX 78749-4421
(512) 292-6832
Mailing address
12304 GATLING GUN LN, AUSTIN, TX 78739-4811
(512) 292-6832

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F0705052
TX
363LF0000X
Family Nurse Practitioner
Primary
672321
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
096265604
TX
05
145078501
TX
01
8K9771
BCBS
TX
Enumeration date
07/14/2006
Last updated
07/21/2022
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