White, Lori Denise

White, Lori Denise is an individual health care provider with primary practice located at Hwy 160 163 Bldg Ka2010 , Kayenta AZ 86033-0368. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. White, Lori Denise can be contacted via phone (928) 697-4000.

Contact Information

Primary practice address
Hwy 160 163 Bldg Ka2010 Kayenta AZ 86033-0368
Phone: (928) 697-4000
Fax: (928) 697-4020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 113836 Iowa

Profile Details

NPI number 1700015443
LBN Legal business name White, Lori Denise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Jul 2nd, 2009 - about 17 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 1700015443 NPPES
Arizona MEDICAID 060012

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