Provider Demographics
NPI:1477349827
Name:MORTON WHITE, ASHLEY ROSE (APRN, CNM)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROSE
Last Name:MORTON WHITE
Suffix:
Gender:
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 SCOTTSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2267
Mailing Address - Country:US
Mailing Address - Phone:318-773-0782
Mailing Address - Fax:
Practice Address - Street 1:6333 SCOTTSFIELD DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2267
Practice Address - Country:US
Practice Address - Phone:318-773-0782
Practice Address - Fax:318-773-0782
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARN0001295923207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology