Healthcare Provider Details

I. General information

NPI: 1417873530
Provider Name (Legal Business Name): MS. NARDIA WHITE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 WEST ARLINE HWY SUITE D
LAPLACE LA
70068
US

IV. Provider business mailing address

1525 DELTA RD
LA PLACE LA
70068-2905
US

V. Phone/Fax

Practice location:
  • Phone: 985-233-4035
  • Fax:
Mailing address:
  • Phone: 985-233-4035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: