Provider Demographics
NPI:1457551244
Name:WHITE, LINDA WALTERS (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:WALTERS
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 BRUSHING LN
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-8614
Mailing Address - Country:US
Mailing Address - Phone:410-879-2235
Mailing Address - Fax:
Practice Address - Street 1:THE JOHNS HOPKINS UNIVERSITY
Practice Address - Street 2:1830 E. MONUMENT STREET SUITE 8021
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-614-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR106285363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health