Individual
MRS. MARY ANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2400 HOSPITAL DR., SUITE 310, BOSSIER CITY, LA 71111-2387
(318) 212-7430
(318) 212-7435
Mailing address
2400 HOSPITAL DR., SUITE 310, BOSSIER CITY, LA 71111-2387
(318) 212-7430
(318) 212-7435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07823
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2376713
—
LA
Enumeration date
06/28/2014
Last updated
05/23/2024
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