Individual provider · Type 1 NPI

Kristi L. Wayment, PA-C

Surgical Physician Assistant · Boise, ID

NPI number 1649396177 Active

Practice location

916 E. Wright St.
Boise, ID 83706

Call (208) 631-5257 Map

Fax (208) 433-1738

Mailing address

3527 S. Federal Way, Ste. 103, #341
Boise, ID 83705

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA325 (ID)
Surgical Physician Assistant Primary 363AS0400XPA-325 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1649396177

Kristi L. Wayment, PA-C's National Provider Identifier is 1649396177, issued on Mar 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Apr 13, 2012.