Provider Demographics
NPI:1710461751
Name:WHITE, AIMEE J (RN)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:J
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:AIMEE
Other - Middle Name:J
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9400 RUFFIN CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-5300
Mailing Address - Country:US
Mailing Address - Phone:858-514-4600
Mailing Address - Fax:858-874-1164
Practice Address - Street 1:9400 RUFFIN CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-5300
Practice Address - Country:US
Practice Address - Phone:858-514-4600
Practice Address - Fax:858-874-1164
Is Sole Proprietor?:No
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95069811163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse