Individual provider · Type 1 NPI

Charisse L. Mack, PA

Physician Assistant · Boise, ID

NPI number 1801973615 Active

Practice location

6140 Curtisian Ave, Ste 400
Boise, ID 83704-8880

Call (208) 367-3500 Map

Fax (208) 367-2968

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-632 (ID)
Surgical Physician Assistant 363AS0400XPA632 (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 1801973615

Charisse L. Mack, PA's National Provider Identifier is 1801973615, issued on Nov 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Mar 4, 2013.