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BODHWATIE WHITE
NPI 1134310345
Licensed Practical Nurse in Ilion, NY

Active since August 05, 2007
243 E CLARK ST, ILION, NY 13357(315) 894-0233 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bodhwatie White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BODHWATIE WHITE (NPI 1134310345) is an individual licensed practical nurse in Ilion, New York, licensed in New York (00273849) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1134310345
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBODHWATIE WHITE
Location Address243 E CLARK STIlion, NY 13357-1319
Mailing Address243 E Clark StIlion, NY 13357-1319 · (315) 894-0233
Phone(315) 894-0233
Sole ProprietorYes
Enumeration DateAugust 5, 2007
✔ NPI 1134310345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 00273849
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
243 E CLARK ST, Ilion, NY 13357
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Other Identifiers 1

Medicaid02600113NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bodhwatie White's NPI number?

The NPI number for Bodhwatie White is 1134310345. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Bodhwatie White located?

Bodhwatie White practices at 243 E Clark St, Ilion, NY 13357. The listed phone number is (315) 894-0233.

What is Bodhwatie White's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Bodhwatie White was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.