Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Clinic/Center |
261Q00000X | |||
Community Health |
261QC1500X | |||
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Health Maintenance Organization |
302R00000X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
In Home Supportive Care |
253Z00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Respite Care |
385H00000X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1932862489 |
| LBN Legal business name | PROVIDERS CARE |
| Authorized official | LAQUITA WHITE - (NURSE PRACTITIONER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/20/2021 |
| Last updated | 02/03/2023 - About 3 years ago |
| Identifiers | n/a |
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