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NPI Code Detail

MEDICARE: STEPHANIE WHITE NP

MEDICARE: STEPHANIE WHITE NP
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
1363L00000XNurse PractitionerRN2259156MA

General Provider Information

NPI Number : 1821578006
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE WHITE NP
Provider Business Mailing Address
First Line : 145 S MAIN ST STE 1C
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-7438
Country : US
Telephone Number : 617-553-6887
Fax Number : 617-360-3807
Provider Business Practice Location Address
First Line : 145 S MAIN ST STE 1C
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-7438
Country : US
Telephone Number : 617-553-6887
Fax Number : 617-360-3807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 02/01/2024

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