Individual
MR. COURTNEY RICARDO WHITE
Active
Individual
MR. COURTNEY RICARDO WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
624288
NY
363LF0000X
Family Nurse Practitioner
Primary
340071
NY
Other
Enumeration date
11/22/2011
Last updated
10/13/2015
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