Provider Demographics
NPI:1972850063
Name:WHITE, KATHARINE LYNN (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:LYNN
Last Name:WHITE
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:LYNN
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7477 NORTHPOINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-6628
Mailing Address - Country:US
Mailing Address - Phone:770-597-6291
Mailing Address - Fax:
Practice Address - Street 1:7477 NORTHPOINTE BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-6628
Practice Address - Country:US
Practice Address - Phone:770-597-6291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9430291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily