| Doctor Name: | CRYSTAL WHITE |
| NPI Number: | 1073862876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN285279 |
| Business Practice Address: | 769 Plain St Marshfield, MA - 020502118 |
| Business Phone Number: | 6178471950 |
| Business Fax Number: | 6177741490 |
| Mailing Address: | 769 Plain St, MARSHFIELD |
| State: | MA |
| Postal Code: | 020502118 |
| Phone Number: | 6178471950 |
| Fax Number: | 6177741490 |
| NPI Enumeration Date: | 09/07/2012 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN285279 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |