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NPI Code Detail

MEDICARE: EDMOND WHITE NP-C

MEDICARE: EDMOND WHITE NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5004268NC
2363LA2200XAdult Health Nurse Practitioner5004268NC
3163W00000XRegistered Nurse204378NC

General Provider Information

NPI Number : 1720225949
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDMOND WHITE NP-C
Provider Business Mailing Address
First Line : 1000 CRESCENT GRN STE 102
Second Line :
City : CARY
State : NC
Zip : 27518-8117
Country : US
Telephone Number : 919-233-0410
Fax Number : 919-233-0872
Provider Business Practice Location Address
First Line : 1000 CRESCENT GRN STE 102
Second Line :
City : CARY
State : NC
Zip : 27518-8117
Country : US
Telephone Number : 919-233-0410
Fax Number : 919-233-0872
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2009
Last Update Date : 11/04/2025

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Directions to “ EDMOND WHITE NP-C” Practice Location

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