Provider Demographics
NPI:1598282873
Name:WHITE, MARGARET CLARE (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CLARE
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6460 LIBERTY POLE RD
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9713
Mailing Address - Country:US
Mailing Address - Phone:585-472-3368
Mailing Address - Fax:
Practice Address - Street 1:101 E HENRIETTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4213
Practice Address - Country:US
Practice Address - Phone:585-271-2897
Practice Address - Fax:585-442-3143
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY548947163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse