White, Carol Ann

White, Carol Ann is an individual health care provider with primary practice located at 5601 W Slauson Ave Ste 234 , Culver City CA 90230-3402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Carol Ann can be contacted via phone (106) 709-3443.

Contact Information

Primary practice address
5601 W Slauson Ave Ste 234 Culver City CA 90230-3402
Phone: (106) 709-3443
Fax: (310) 670-9376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP8480 California

Profile Details

NPI number 1134262850
LBN Legal business name White, Carol Ann
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Mar 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134262850 NPPES
California MEDICAID NP0084800

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