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NPI Code Detail

MEDICARE: ANNE WHITE RNP

MEDICARE: ANNE WHITE RNP
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
1363LX0001XObstetrics & Gynecology Nurse PractitionerF420062NY

General Provider Information

NPI Number : 1346279882
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE WHITE RNP
Provider Business Mailing Address
First Line : PO BOX 144
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-0144
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45 HUDSON AVE
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4313
Country : US
Telephone Number : 518-793-4477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/08/2007

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