Individual provider · Type 1 NPI

Felicia Lynn Berridge

Pediatric Surgery Physician · Boise, ID

NPI number 1861101636 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-2222 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X$$$$$$$$$ (ID)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1861101636

Felicia Lynn Berridge's National Provider Identifier is 1861101636, issued on Nov 21, 2022. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Boise, ID. The record was last updated on Nov 21, 2022.