MEDICARE: MRS. CORTNEY WHITE MSN, CNM, WHNP-BC

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
1	367A00000X	Advanced Practice Midwife	ARNP9398369	FL

General Provider Information

NPI Number	:	1083004279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CORTNEY WHITE MSN, CNM, WHNP-BC

Provider Business Mailing Address
First Line	:	2100 ALOMA AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3301
Country	:	US
Telephone Number	:	407-339-2229
Fax Number	:	407-339-2039

Provider Business Practice Location Address
First Line	:	2100 ALOMA AVE STE 100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3301
Country	:	US
Telephone Number	:	407-339-2229
Fax Number	:	407-339-2039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	03/17/2018

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