Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Petrie White Family Medicine of Idaho

Organization Family Medicine Physician · NPI 1447629555

Petrie White Family Medicine of Idaho provides Family Medicine Physician services in Emmett, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

2001 E Quail Run Rd
Emmett, ID 83617-5059 Not confirmed with CMS for 10 years — call before visiting
Phone: (208) 365-7131
Fax: (208) 365-4464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M7802 (ID)

Record details

NPI number1447629555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan White — Clinic Administrator · (208) 365-7131
Other names Emmett Family Medicine And Direct Primary Care
NPI enumeratedSeptember 18, 2015
Last updated in NPPESJanuary 12, 2016
Mailing address2001 E Quail Run Rd, Emmett, ID 83617-5059

Other providers in Emmett