Provider Demographics
NPI:1508932724
Name:WHITE, KIRSTEN TORI (ARNP)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:TORI
Last Name:WHITE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3450 E FRANK PHILLIPS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2401
Mailing Address - Country:US
Mailing Address - Phone:918-338-3777
Mailing Address - Fax:918-338-3780
Practice Address - Street 1:3450 E FRANK PHILLIPS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2401
Practice Address - Country:US
Practice Address - Phone:918-338-3777
Practice Address - Fax:918-338-3780
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0049746363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200100780AMedicaid