Whalio Doctors

NPI 1043697113

Elizabeth Ashley Black, MD

Practitioner Pediatric Nephrology Physician Boise, ID

Practice location

Address
305 E Jefferson St, Boise, ID 83712-6231
Phone
(208) 381-7336
Fax
(208) 381-7495
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (5)

Pediatric Nephrology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080P0210X Licence 2971396 (ID)
Pediatric Obesity Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080B0002X Licence A151555 (CA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence A151555 (CA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X
Pediatric Nephrology Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0210X Licence A151555 (CA)

Registry record

NPI
1043697113
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Apr 2015
Record last updated
3 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.