Individual provider · Type 1 NPI

Emily Grace Bond Russell, PA-C

Physician Assistant · Nampa, ID

NPI number 1154971174 Active

Practice location

9850 W St Lukes Dr # 329
Nampa, ID 83687-7912

Call (208) 514-2509 Map

Fax (208) 375-2217

Mailing address

777 N Raymond St
Boise, ID 83704-9251

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-2563 (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 1154971174

Emily Grace Bond Russell, PA-C's National Provider Identifier is 1154971174, issued on Sep 12, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nampa, ID. The record was last updated on Dec 15, 2023.