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NPI Code Detail

MEDICARE: NATALIE BAILEY WHITE CRNA

MEDICARE: NATALIE BAILEY WHITE CRNA
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
1367500000XCertified Registered Nurse Anesthetist32031SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132031OTHERSCSOUTH CAROLINA BOARD OF NURSING

General Provider Information

NPI Number : 1124865886
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE BAILEY WHITE CRNA
Provider Business Mailing Address
First Line : 1753 MCHENRY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-2909
Country : US
Telephone Number : 804-314-2857
Fax Number :
Provider Business Practice Location Address
First Line : 2095 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5733
Country : US
Telephone Number : 843-402-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2024
Last Update Date : 06/02/2026

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