Individual
SHARON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N LINCOLN, DEXTER, NM 88230
(575) 734-5420
Mailing address
PO BOX 159, DEXTER, NM 88230-0159
(575) 734-5420
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R09659
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R09659
NEW MEXICO BOARD OF NUSING LICENSE
NM
Enumeration date
02/27/2017
Last updated
02/27/2017
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