Doctor Name: | MRS. CHERYL L WHITE |
NPI Number: | 1164414561 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 52802 |
Business Practice Address: | 16130 Webster Road Craigsville, WV - 26205 |
Business Phone Number: | 3047423570 |
Business Fax Number: | 3047423572 |
Mailing Address: | 204 S Jefferson St, LEWISBURG |
State: | WV |
Postal Code: | 249011317 |
Phone Number: | 3046454043 |
Fax Number: | 3046454713 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 52802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |