Provider Demographics
NPI:1326804535
Name:WHITE, HUNTER SHERISSE
Entity Type:Individual
Prefix:MS
First Name:HUNTER
Middle Name:SHERISSE
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12107 VAN VLECK RD
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14129-9731
Mailing Address - Country:US
Mailing Address - Phone:716-697-9168
Mailing Address - Fax:
Practice Address - Street 1:12107 VAN VLECK RD
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:NY
Practice Address - Zip Code:14129-9731
Practice Address - Country:US
Practice Address - Phone:716-697-9168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula