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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDA V WHITE, PA

Active

IDA V WHITE, PA is a Medical Physician Assistant healthcare provider located in PROVIDENCE, Rhode Island. NPI 1154882538 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PROVIDENCE, RI

Registration Details

NPI Number
1154882538
Provider Type
Individual
Gender
Female
NPI Issued
Mar 27, 2019 (7.3796325897201 yrs)
Last Updated
Jun 21, 2022
License
PA01458 (RI)

Practice Information

Address
164 SUMMIT AVE
PROVIDENCE, RI, 02906
Browse RI providers · Browse ZIP 02906
Phone
4017934102
Fax
4017934049
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PROVIDENCE, RI

Name Credential NPI
PATRICIA A TRAFFORD P.A.C. 1518962034
SANDRA M JAMIESON PA 1528065430
JOSEPH J DIBERNARDO PA-C 1497721419
RICHARD A. HERNANDEZ PA-C 1457328221
PAMELA M BRISSETTE PA-C 1972570182
IAN PAUL KROUSON PA 1790744381
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.