Persia White
Individual provider Active NPI Nurse's Aide · Fredericksbrg, VA
NPI 1609654151 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1609654151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 1409811 (VA)
- Practice address
- 2029 Liberty Loop Apt 204
Fredericksbrg, VA 22408-9630 - Phone
- (571) 991-6707
- NPI assigned
- Sep 18, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1409811 | VA | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide |
376K00000X | 1409811 | VA | Yes |
Addresses
Primary practice location
2029 Liberty Loop Apt 204
Fredericksbrg, VA 22408-9630
Mailing address
2029 Liberty Loop Apt 204
Fredericksbrg, VA 22408-9630
Phone (571) 991-6707
Other providers in Fredericksbrg, VA
- Chizoba Uzochukwu
- Virginia Pulmonology and Critical Care LLC
- Visionove LLC
- Frans A Vossenberg
- Anna White
- Jacqueline Stacy-Ann Williams
- Yond Enterprises LLC
All providers in Fredericksbrg, VA · Nurse's Aide in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. 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.