Andrew Jason White, RN
Registered Nurse in Syracuse, NY. Individual provider (NPI-1).
NPI number1760627004
StatusActive
Last updated in NPPESDec 15, 2008
Details
- NPI
- 1760627004
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew Jason White
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2008
- Last updated
- Dec 15, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 510017 | NY | Yes |
Practice location
150 Reed AveSyracuse, NY 13207-1108
Phone 315-542-8417
Mailing address
150 Reed AveSyracuse, NY 13207-1108
Phone 315-542-8417
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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