Gwendolynn Marie White, LPN | |
125 W Antoine St, Iron Mountain, MI 49801-1309 | |
(906) 774-0675 | |
Not Available |
Full Name | Gwendolynn Marie White |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 125 W Antoine St, Iron Mountain, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528355716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703085591 (Michigan) | Secondary |
164W00000X | Licensed Practical Nurse | 304792-31 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gwendolynn Marie White, LPN 125 W Antoine St, Iron Mountain, MI 49801-1309 Ph: (906) 774-0675 | Gwendolynn Marie White, LPN 125 W Antoine St, Iron Mountain, MI 49801-1309 Ph: (906) 774-0675 |
Mrs. Tammy Lynn Smoot, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1711 S Stephenson Ave, Suite 215, Iron Mountain, MI 49801 Phone: 906-776-5843 Fax: 906-774-3324 |