Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 654 | SC |
NPI | 1215447420 |
---|---|
Provider Name | Mrs. Cathy Mcneill White |
First Address | Chapin, SC 29036-7923 |
Second Address | Columbia, SC 29203-6863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2017 |
Last Update Date | 03/10/2017 |