White, Mary E

White, Mary E is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846-5614. 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 E can be contacted via phone (620) 275-3700.

Contact Information

Primary practice address
311 E Spruce St Garden City KS 67846-5614
Phone: (620) 275-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-75205-122 Kansas

Profile Details

NPI number 1780991372
LBN Legal business name White, Mary E
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2010
Last updated Jan 26th, 2022 - about 4 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 1780991372 NPPES
Kansas Other 75205 STATE LICENSE
Kansas MEDICAID 200679640A STATE LICENSE

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