Dolores Ann White, RN
Individual provider Active NPI Registered Nurse · Charleston, AR
NPI 1508050436 · NPPES record last updated Sep 4, 2007
Key facts
- NPI
- 1508050436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 520720 (TX)
- Practice address
- 2911 Rice Loop
Charleston, AR 72933-3035 - Phone
- (817) 692-0693
- NPI assigned
- Sep 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 520720 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 520720 | TX | Yes |
Addresses
Primary practice location
2911 Rice Loop
Charleston, AR 72933-3035
Mailing address
PO Box 964
Lavaca, AR 72941-0964
Phone (817) 692-0693
Other providers in Charleston, AR
- Cortney Eloise Vanmeter
- Wal-Mart Stores Inc
- Timbi D West
- Western Arkansas Pediatric Rehab Inc.
- Western Arkansas Primary Care
- Caroline Wilbanks
- Macy Young
All providers in Charleston, AR · Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.