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NPI Code Detail

MEDICARE: MARGARET ANN WHITE APRN

MEDICARE: MARGARET ANN WHITE APRN
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
1363LF0000XFamily Nurse Practitioner209.019677IL

General Provider Information

NPI Number : 1750935052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ANN WHITE APRN
Provider Business Mailing Address
First Line : 1658 S IL ROUTE 2
Second Line :
City : OREGON
State : IL
Zip : 61061-9514
Country : US
Telephone Number : 815-732-2499
Fax Number : 815-732-6077
Provider Business Practice Location Address
First Line : 1658 S IL ROUTE 2
Second Line :
City : OREGON
State : IL
Zip : 61061-9514
Country : US
Telephone Number : 815-732-2499
Fax Number : 815-732-6077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 06/14/2021

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Directions to “ MARGARET ANN WHITE APRN” Practice Location

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