person
Ida V White, PA
Medical Physician Assistant in Providence, Rhode Island
NPI 1154882538

Ida V White is a Medical Physician Assistant based in Providence, RI and is specialized in Medical. Ida V White practices in Providence, RI and has the professional credentials of PA. The NPI Number for Ida V White is 1154882538 and holds a License No. PA01458 (Rhode Island).

The current practice location address for Ida V White is 164 Summit Ave, Providence, RI and can be reached out via phone at 401-793-4102 and via fax at 401-793-4049. You can also correspond with Ida V White through the mailing address at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI - 02905-4541 (mailing address contact number: ).

Location: 164 Summit Ave, Providence, RI, 02905-4541
person
Provider Profile Details
NPI Number
1154882538
Provider Name
Ida V White
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
164 Summit Ave, Providence, RI, 02905-4541
Phone Number
401-793-4102
Fax Number
401-793-4049
Provider Enumeration Date
03/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
164 Summit Ave
City
State
Zip
02906
Phone Number
401-793-4102
Fax Number
401-793-4049
person
Provider Business Mailing Address Details
Address
164 Summit Ave
City
State
Zip
02906
Phone Number
401-793-4102
Fax Number
401-793-4049
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01458 (Rhode Island)
Definition
Definition to come...
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