Individual provider · Type 1 NPI

Elizabeth Victoria McKenna, PA

Physician Assistant · Boise, ID

NPI number 1629807151 Active

Practice location

11197 W Fairview Ave
Boise, ID 83713-7935

Call (208) 378-8011 Map

Fax (208) 322-8095

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XNone listed
Nurse's Aide 376K00000XNone listed
Physician Assistant Primary 363A00000X3381438 (ID)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1629807151

Elizabeth Victoria McKenna, PA's National Provider Identifier is 1629807151, issued on Aug 1, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Oct 28, 2026.