White, Noel Frederick

White, Noel Frederick is an individual health care provider with primary practice located at 3601 W Commercial Blvd Ste 5 , Fort Lauderdale FL 33309-3392. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. White, Noel Frederick can be contacted via phone (954) 485-5666.

Contact Information

Primary practice address
3601 W Commercial Blvd Ste 5 Fort Lauderdale FL 33309-3392
Phone: (954) 485-5666
Fax: (954) 484-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 576194 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9223 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN9299773 Florida

Profile Details

NPI number 1780642769
LBN Legal business name White, Noel Frederick
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Oct 16th, 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 1780642769 NPPES
Tennessee MEDICAID 3628212
Tennessee MEDICAID 114761100

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