Provider Demographics
NPI:1659152478
Name:WHITE, NATHAN PAUL BLAINE (RN, NRP)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:PAUL BLAINE
Last Name:WHITE
Suffix:
Gender:M
Credentials:RN, NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 WAYNE CT NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-1880
Mailing Address - Country:US
Mailing Address - Phone:276-202-1165
Mailing Address - Fax:
Practice Address - Street 1:5030 WAYNE CT NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-1880
Practice Address - Country:US
Practice Address - Phone:276-202-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care