Provider Demographics
NPI:1518437755
Name:WHITE, NAOMI KIRA (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:KIRA
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:KIRA
Other - Last Name:GERSZBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-BC
Mailing Address - Street 1:1801 NE 123RD ST
Mailing Address - Street 2:STE 405
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2884
Mailing Address - Country:US
Mailing Address - Phone:305-674-5925
Mailing Address - Fax:305-674-5927
Practice Address - Street 1:4316 NAUTILUS DR
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2824
Practice Address - Country:US
Practice Address - Phone:201-615-6983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000761363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily