BETTY J WHITE ARNP NPI 1093792285

NPI Information

NPI: 1093792285
Provider Name: BETTY J WHITE, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1519 3RD ST SE STE 230
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-8640
Get Directions

Betty J White, ARNP is an adult health nurse practitioner in Puyallup, WA. Betty J White, ARNP NPI is 1093792285. 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:

1519 3RD ST SE STE 230
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-8640
Fax: (583) 841-7645

The NPI 1093792285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 3/11/2020.

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	363LA2200X	Nurse Practitioner	Adult Health	RN00115014	WASHINGTON	No
2	363LF0000X	Nurse Practitioner	Family	AP30006706	WASHINGTON	No
3	363LA2200X	Nurse Practitioner	Adult Health	AP30006706	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1002270	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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