White, Tina

White, Tina is an individual health care provider with primary practice located at 1419 S Folkers Ave , Peoria IL 61605-1356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. White, Tina can be contacted via phone (309) 676-7803.

Contact Information

Primary practice address
1419 S Folkers Ave Peoria IL 61605-1356
Phone: (309) 676-7803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X Illinois

Profile Details

NPI number 1851333819
LBN Legal business name White, Tina
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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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