Provider Demographics
NPI:1801142815
Name:WHITE, SHEILA ANN (RD, LDN)
Entity type:Individual
Prefix:MISS
First Name:SHEILA
Middle Name:ANN
Last Name:WHITE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 791416
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70179-1416
Mailing Address - Country:US
Mailing Address - Phone:504-568-8208
Mailing Address - Fax:504-568-8232
Practice Address - Street 1:1450 POYDRAS ST STE 1631
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1613
Practice Address - Country:US
Practice Address - Phone:504-568-8208
Practice Address - Fax:504-568-8232
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1628133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered