Individual
ASHLEY FAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641
Mailing address
19345 RED EAGLE WAY, CALDWELL, ID 83605-7913
(208) 459-4641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201605588NP-PP
OR
363LF0000X
Family Nurse Practitioner
57418
ID
Other
Enumeration date
08/03/2016
Last updated
04/19/2022
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