Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN WHITE
Active Sole ProprietorEVAN WHITE is a Emotionally Disturbed Children Residential Treatment healthcare provider located in EMMETT, Idaho. NPI 1043038268 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · EMMETT, ID
Registration Details
- NPI Number
- 1043038268
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2024 (1.924437587811 yrs)
- Last Updated
- Sep 27, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
9825 MAYBERRY LNEMMETT, ID, 836173051Browse ID providers · Browse ZIP 83617
- Phone
- 2087131290
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.