White, Patricia A

White, Patricia A is an individual health care provider with primary practice located at 6153 W Olive Ave , Glendale AZ 85302-4564. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. White, Patricia A can be contacted via phone (602) 685-6000.

Contact Information

Primary practice address
6153 W Olive Ave Glendale AZ 85302-4564
Phone: (602) 685-6000
Fax: (623) 937-2589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X AP1776 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP1776 Arizona

Profile Details

NPI number 1891853321
LBN Legal business name White, Patricia A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Apr 22nd, 2015 - about 11 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 1891853321 NPPES
Arizona MEDICAID 794380

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