Healthcare Provider Details

I. General information

NPI: 1104162692
Provider Name (Legal Business Name): TAMEKA E WHITE DNP,PMHNP,ACNP,AACRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAMEKA E WHITE - DELA CRUZ DNP,PMHNP,ACNP,AACRN

II. Dates (important events)

Enumeration Date: 01/02/2013
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 HINSDALE ST OFC 1
BROOKLYN NY
11207-3909
US

IV. Provider business mailing address

301 HINSDALE ST APT 1
BROOKLYN NY
11207-3909
US

V. Phone/Fax

Practice location:
  • Phone: 347-542-1437
  • Fax:
Mailing address:
  • Phone: 347-542-1437
  • Fax: 407-602-0946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407976
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number430690
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: