Gwendolynn Marie White, LPN is a
Licensed Practical Nurse based in Iron Mountain, Michigan. Gwendolynn Marie White is licensed to practice in Wisconsin (license number 304792-31) and her current practice location is
125 W Antoine St, Iron Mountain, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 774-0675.
NPI number for Gwendolynn Marie White is 1528355716 and her current mailing address is 125 W Antoine St, Iron Mountain, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528355716.
Provider's Profile
Full Name | Gwendolynn Marie White |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 125 W Antoine St, Iron Mountain, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528355716
- Provider Enumeration Date: 07/07/2011
- Last Update Date: 07/07/2011
Medical Identifiers
Medical identifiers for Gwendolynn Marie White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528355716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703085591 (Michigan) | Secondary |
164W00000X | Licensed Practical Nurse | 304792-31 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gwendolynn Marie White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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