| NPI | 1326342007 |
|---|---|
| Former Name | NICOLE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255867) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R210152) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264405) | |
| 163W00000X Registered Nurse (Licence: MA 2264405) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2026-04-03 |