Provider Demographics
NPI:1255677712
Name:WHITE, CATHERINE A (NP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:WHITE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4374 NEW TOWN AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2865
Mailing Address - Country:US
Mailing Address - Phone:757-220-2795
Mailing Address - Fax:757-259-8797
Practice Address - Street 1:4374 NEW TOWN AVE
Practice Address - Street 2:STE 200
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-2865
Practice Address - Country:US
Practice Address - Phone:757-220-2795
Practice Address - Fax:757-259-8797
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170663363LF0000X
VA0001240922164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse