| Doctor Name: | DIANNA LYNN WHITE |
| NPI Number: | 1578584256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4704160906 |
| Business Practice Address: | 207 E Bellevue St Leslie, MI - 492519373 |
| Business Phone Number: | 5175898252 |
| Business Fax Number: | 5175895189 |
| Mailing Address: | 207 E Bellevue St, LESLIE |
| State: | MI |
| Postal Code: | 492519373 |
| Phone Number: | 5175898252 |
| Fax Number: | 5175895189 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 02/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704160906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |