Individual
KAITLIN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
502 MADISON OAK DR STE 245, SAN ANTONIO, TX 78258-4086
(210) 404-2532
Mailing address
18902 BROOKWOOD FRST, SAN ANTONIO, TX 78258-4457
(919) 699-7733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1016745
TX
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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