Ida V White, PA is a medical physician assistant in Providence, RI with 5 years of experience. Ida V White, PA NPI is 1154882538. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
164 SUMMIT AVE
PROVIDENCE, RI
ZIP 02906
Phone: (401) 793-4102
Fax: (401) 793-4049
The NPI 1154882538 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2019 and was last updated on 6/21/2022.