| Doctor Name: | TRACEY ANNE WHITE |
| NPI Number: | 1750657680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | 447542 |
| Business Practice Address: | 2900 Doolittle Dr Ellsworth Afb, SD - 577064821 |
| Business Phone Number: | 6053853455 |
| Business Fax Number: | |
| Mailing Address: | 574 Adams Dr, ELLSWORTH AFB |
| State: | SD |
| Postal Code: | 577065003 |
| Phone Number: | 8455324263 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2012 |
| NPI Last Update Date: | 10/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0003X |
| License Number: | 447542 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Obstetric, Inpatient |
| Taxonomy Definition: | |