Stacey Renae White
Nurse Practitioner - Adult Health
4042 Cambrian Cir
Midlothian
, Virginia 23112-5023
Stacey Renae White
Nurse Practitioner - Adult Health
4042 Cambrian Cir
Midlothian
, Virginia 23112-5023
(804) 888-1198
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Stacey Renae White
- 4042 Cambrian Cir
- Midlothian, VA
- Zip : 23112-5023
- Phone : (804) 888-1198
Second Address
- Stacey Renae White
- 4042 Cambrian Cir
- Midlothian, VA
- Zip : 23112-5023
- Phone : (804) 888-1198
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024181325 | VA |
National Provider Identifier
| NPI | 1013689363 |
|---|---|
| Provider Name | Stacey Renae White |
| First Address | Midlothian, VA 23112-5023 |
| Second Address | Midlothian, VA 23112-5023 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2021 |
| Last Update Date | 04/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.