Individual provider · Type 1 NPI

Mark A. Granrud, PA-C

Physician Assistant · Nampa, ID

NPI number 1043286222 Active

Practice location

215 E Hawaii Avenue
Nampa, ID 83686

Call (208) 463-3000 Map

Fax (208) 463-3034

Mailing address

217 W Georgia, Suite 115
Nampa, ID 83686

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA621 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043286222

Mark A. Granrud, PA-C's National Provider Identifier is 1043286222, issued on Feb 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nampa, ID. The record was last updated on Jul 8, 2007.