Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 453305 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 453305 | CA |
NPI | 1134757263 |
---|---|
Provider Name | Cheri Angela White |
First Address | Applegate, CA 95703-0010 |
Second Address | Roseville, CA 95661-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2020 |
Last Update Date | 01/04/2020 |