Provider Demographics
NPI:1487245247
Name:WHITE, ARLEATHIA L (RN)
Entity type:Individual
Prefix:
First Name:ARLEATHIA
Middle Name:L
Last Name:WHITE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 SHADOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SMITHS
Mailing Address - State:AL
Mailing Address - Zip Code:36877
Mailing Address - Country:US
Mailing Address - Phone:334-614-8447
Mailing Address - Fax:
Practice Address - Street 1:496 SHADOW WOOD DR
Practice Address - Street 2:
Practice Address - City:SMITHS
Practice Address - State:AL
Practice Address - Zip Code:36877-4845
Practice Address - Country:US
Practice Address - Phone:334-614-8447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-170526163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health