Most Relevant Information
Provider Data
| NPI Number: | 1003502949 |
| Provider Name: | BRIAN C WHITE APRN, PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.0998492-NP |
Most Important Dates
| Enumeration Date: | 04/13/2023 |
| Last Updated: | 04/13/2023 |
Provider Practice Location
226 1/2 S UNION AVE UNIT 205
PUEBLO
CO
810033557
Practice Location Phone/Fax
| Phone: | 7192250637 |
| Fax: |
Provider Mailing Location
PO BOX 8191
PUEBLO
CO
810088191
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |