MRS. THERESA ANN WHITE PA-C NPI 1790911204

NPI Information

NPI: 1790911204
Provider Name: MRS. THERESA ANN WHITE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
37605 PEMBROKE AVE
LIVONIA, MI
ZIP 48152
Phone: (734) 591-7931
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MRS. Theresa Ann White, PA-C is a medical physician assistant in Livonia, MI. MRS. Theresa Ann White, PA-C NPI is 1790911204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

37605 PEMBROKE AVE
LIVONIA, MI
ZIP 48152-050
Phone: (734) 591-7931
Fax: (734) 464-0335

The enumeration date for this NPI number is 6/10/2009 and was last updated on 6/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601004027	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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