Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024172073 | VA |
N | 363LG0600X | Nurse Practitioner - Gerontology | 0024172073 | VA |
NPI | 1053714568 |
---|---|
Provider Name | Danielle Mcwhite |
First Address | Norfolk, VA 23502-3933 |
Second Address | Chesapeake, VA 23320-4985 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2014 |
Last Update Date | 01/10/2014 |