Doctor Name: | BARBARA WHITE |
NPI Number: | 1154656064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P |
License Number: | 283996 |
Business Practice Address: | 1321 40th St Emeryville, CA - 946083660 |
Business Phone Number: | 5104858517 |
Business Fax Number: | |
Mailing Address: | 871 21st St, Apt 1 OAKLAND |
State: | CA |
Postal Code: | 946073395 |
Phone Number: | 5104858517 |
Fax Number: | |
NPI Enumeration Date: | 10/09/2009 |
NPI Last Update Date: | 06/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 283996 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |