Healthcare Provider Details

I. General information

NPI: 1134909807
Provider Name (Legal Business Name): ROSEMARIE ANITA WHITE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE A
DOVER DE
19901-3618
US

IV. Provider business mailing address

8 THE GRN STE A
DOVER DE
19901-3618
US

V. Phone/Fax

Practice location:
  • Phone: 302-760-1977
  • Fax:
Mailing address:
  • Phone: 302-760-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC006026
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010509
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: