Individual provider · Type 1 NPI

Elizabeth Ashley Black, MD

Pediatric Nephrology Physician · Boise, ID

NPI number 1043697113 Active

Practice location

305 E Jefferson St
Boise, ID 83712-6231

Fax (208) 381-7495

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 726 N Medical Center Dr E Ste 209, Clovis, CA 93611-6886 · (559) 325-5656

Specialties and licenses

TaxonomyCodeLicense
Pediatric Obesity Medicine Physician 2080B0002XA151555 (CA)
Pediatrics Physician 208000000XA151555 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Nephrology Physician 2080P0210XA151555 (CA)
Pediatric Nephrology Physician Primary 2080P0210X2971396 (ID)

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

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About NPI 1043697113

Elizabeth Ashley Black, MD's National Provider Identifier is 1043697113, issued on Apr 28, 2015. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Boise, ID. The record was last updated on Jun 3, 2026.