Individual provider · Type 1 NPI

Claire Magnolo, PA-C

Surgical Physician Assistant · Meridian, ID

NPI number 1003869355 Active

Practice location

3399 E Louise Dr Ste 400
Meridian, ID 83642-5212

Call (208) 706-4650 Map

Fax (208) 706-4651

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 301 W Myrtle St, Boise, ID 83702-7656 · (208) 342-8200

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-2530 (ID)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1003869355

Claire Magnolo, PA-C's National Provider Identifier is 1003869355, issued on May 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Meridian, ID. The record was last updated on Dec 17, 2025.