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NPI Code Detail

MEDICARE: EMMA RHIANNON WHITE

MEDICARE: EMMA RHIANNON WHITE
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
1390200000XStudent in an Organized Health Care Education/Training ProgramRN-88881NM

General Provider Information

NPI Number : 1871445304
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA RHIANNON WHITE
Provider Business Mailing Address
First Line : 6801 LINDA DR
Second Line :
City : FARMINGTON
State : NM
Zip : 87402-5067
Country : US
Telephone Number : 505-609-3202
Fax Number :
Provider Business Practice Location Address
First Line : 801 W MAPLE ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5630
Country : US
Telephone Number : 505-609-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ EMMA RHIANNON WHITE ” Practice Location

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