Most Relevant Information
Provider Data
| NPI Number: | 1003278235 |
| Provider Name: | TANYA A WHITE CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2296060 |
Most Important Dates
| Enumeration Date: | 03/26/2016 |
| Last Updated: | 03/12/2024 |
Provider Practice Location
530 N MAIN ST
PROVIDENCE
RI
029045762
Practice Location Phone/Fax
| Phone: | 4012764020 |
| Fax: |
Provider Mailing Location
16 WATERHOUSE RD
BOURNE
MA
025323897
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |