Individual provider · Type 1 NPI

Theresa Ann White, PA-C

Medical Physician Assistant · Livonia, MI

NPI number 1790911204 Active

About NPI 1790911204

Theresa Ann White, PA-C's National Provider Identifier is 1790911204, issued on Jun 10, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Livonia, MI. The record was last updated on Jun 10, 2009.