Provider Demographics
NPI:1386166288
Name:WHITE, ERIN THERESA (MS AGACNP-BC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:THERESA
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7245 JACKSON ARCH DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-4720
Mailing Address - Country:US
Mailing Address - Phone:804-363-2350
Mailing Address - Fax:
Practice Address - Street 1:7702 E PARHAM RD STE 106
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4375
Practice Address - Country:US
Practice Address - Phone:804-346-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175053363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care