Katrina A White PA

NPI 1104919240 - Family Medicine - 207Q00000X

NPI Details
NPI 1104919240
Gender Female
Enumeration Date 10/02/2006
Last Updated 10/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
805 SOUTH F STREET
BROKEN BOW NE, 68822-0647, US
Phone (308) 872-6456
Fax (308) 872-6040
Business Location
805 SOUTH F STREET
PO BOX 647
BROKEN BOW NE, 68822-0647, US
Phone (308) 872-6456
Fax (308) 872-6040
Toxanomy
Taxonomy Code 207Q00000X
License State Nebraska
License Number 1174
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According to our database, Mrs. Katrina A White PA NPI is 1104919240, taxonomy code is 207Q00000X and license number is 1174, license state is located at Nebraska. Katrina A White PA physically located at 805 South F Street, Broken Bow NE, 68822-0647. NPI Number Katrina A White PA has the Individual type.

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1104919240 NPI number is provided on an as is basis without warranty of any kind. 1104919240 is maintained by the National Plan & Provider Enumeration System. The contents of Katrina A White PA are for informational purposes only.