MEDICARE: HEATHER WHITE REGISTERED NURSE

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	163WS0200X	School Registered Nurse	RN44959	ME

General Provider Information

NPI Number	:	1497508337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER WHITE REGISTERED NURSE

Provider Business Mailing Address
First Line	:	53 GARFIELD ST
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1605
Country	:	US
Telephone Number	:	207-454-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 GARFIELD ST
Second Line	:
City	:	CALAIS
State	:	ME
Zip	:	04619-1605
Country	:	US
Telephone Number	:	207-454-2000
Fax Number	:

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

Provider Enumeration Date	:	04/10/2024
Last Update Date	:	04/10/2024

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Directions to “ HEATHER WHITE REGISTERED NURSE” Practice Location

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