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NPI Code Detail

MEDICARE: SARAH LORRAINE WHITE PMHNP

MEDICARE: SARAH LORRAINE WHITE PMHNP
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 Practitioner5009654NC

General Provider Information

NPI Number : 1942401930
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LORRAINE WHITE PMHNP
Provider Business Mailing Address
First Line : 725 SAGE OAK LN
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-5412
Country : US
Telephone Number : 614-404-4034
Fax Number :
Provider Business Practice Location Address
First Line : 3000 HIGHWOODS BLVD STE 310
Second Line :
City : RALEIGH
State : NC
Zip : 27604-1029
Country : US
Telephone Number : 614-404-4034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 01/09/2024

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