White, Mary Diane

White, Mary Diane is an individual health care provider with primary practice located at 20011 Ballinger Way Ne Ste 202 , Shoreline WA 98155-1286. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. White, Mary Diane can be contacted via phone (425) 806-8360.

Contact Information

Primary practice address
20011 Ballinger Way Ne Ste 202 Shoreline WA 98155-1286
Phone: (425) 806-8360
Fax: (425) 250-8566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30005666 Washington

Profile Details

NPI number 1821089046
LBN Legal business name White, Mary Diane
Credentials MSN, ARNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 11th, 2023 - about 3 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 1821089046 NPPES
Washington MEDICAID 9638322

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