Individual
BRITTANY GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1072 N LIBERTY STREET, STE 303, BOISE, ID 83704
(208) 302-4400
(208) 302-4255
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-4400
(208) 302-4255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1872
ID
363A00000X
Physician Assistant
PA10109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387256601
—
TX
Enumeration date
10/22/2015
Last updated
01/06/2021
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