Provider Demographics
NPI:1033105762
Name:WHITE, NANCY A (RN, MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:A
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN, MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7018 HUNTER LN
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1149
Mailing Address - Country:US
Mailing Address - Phone:301-699-8477
Mailing Address - Fax:301-713-0379
Practice Address - Street 1:1325 E WEST HWY
Practice Address - Street 2:ROOM 9300
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3280
Practice Address - Country:US
Practice Address - Phone:301-713-0545
Practice Address - Fax:301-713-0379
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRO76486363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health