Provider Demographics
NPI:1548523582
Name:WHITE, ALANDA RUSAWN (MSN,APRN,FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ALANDA
Middle Name:RUSAWN
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSN,APRN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 SCHAEFER RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-1980
Mailing Address - Country:US
Mailing Address - Phone:210-281-5507
Mailing Address - Fax:210-290-9791
Practice Address - Street 1:9135 SCHAEFER RD STE 4
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-1980
Practice Address - Country:US
Practice Address - Phone:210-281-5507
Practice Address - Fax:210-290-9791
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX715566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily