Individual provider · Type 1 NPI

Ida V. White, PA

Medical Physician Assistant · Providence, RI

NPI number 1154882538 Active

Practice location

164 Summit Ave
Providence, RI 02906

Call (401) 793-4102 Map

Fax (401) 793-4049

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01458 (RI)

Medical Physician Assistant: Definition to come...

285 other providers at this address

Other medical physician assistant providers in Providence

See all in Providence →

About NPI 1154882538

Ida V. White, PA's National Provider Identifier is 1154882538, issued on Mar 27, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, RI. The record was last updated on Jun 21, 2022.