Individual provider · Type 1 NPI

Addie Barnes, PA-C

Surgical Physician Assistant · Boise, ID

NPI number 1447534821 Active

Practice location

900 N Liberty, Ste 101
Boise, ID 83704

Call (208) 302-2200 Map

Fax (208) 302-2255

Mailing address

3340 E Goldstone Way
Meridian, ID 83642

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4916 (AZ)
Surgical Physician Assistant 363AS0400X4916 (AZ)
Surgical Physician Assistant Primary 363AS0400XPA-1418 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1447534821

Addie Barnes, PA-C's National Provider Identifier is 1447534821, issued on Oct 4, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Nov 16, 2018.