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NPI Code Detail

MEDICARE: ALISON WHITE APRN

MEDICARE: ALISON 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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95035259CA
2163W00000XRegistered Nurse201809233RNOR

General Provider Information

NPI Number : 1912563610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON WHITE APRN
Provider Business Mailing Address
First Line : 1625 SCHRADER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-6213
Country : US
Telephone Number : 323-993-7500
Fax Number :
Provider Business Practice Location Address
First Line : 1625 SCHRADER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-6213
Country : US
Telephone Number : 323-993-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2019
Last Update Date : 01/07/2026

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