Provider Demographics
NPI:1366249161
Name:WHITE, CHARITO CUNANAN (ARNP)
Entity type:Individual
Prefix:
First Name:CHARITO
Middle Name:CUNANAN
Last Name:WHITE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87804 E SAGEBRUSH RD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99338-2375
Mailing Address - Country:US
Mailing Address - Phone:509-378-0796
Mailing Address - Fax:
Practice Address - Street 1:87804 E SAGEBRUSH RD
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99338-2375
Practice Address - Country:US
Practice Address - Phone:509-378-0796
Practice Address - Fax:509-378-0796
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61661735363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner