Provider Demographics
NPI:1417539594
Name:WHITE-FELDE, LORI LEIGH (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LEIGH
Last Name:WHITE-FELDE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-3324
Mailing Address - Country:US
Mailing Address - Phone:678-850-8410
Mailing Address - Fax:
Practice Address - Street 1:35 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277-3324
Practice Address - Country:US
Practice Address - Phone:678-850-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN236231163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development