Individual
MICHELLE VANHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 E FLAMINGO AVE STE 200, NAMPA, ID 83687-1128
(208) 302-2700
(208) 302-2725
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1571543
ID
363AS0400X
Surgical Physician Assistant
PA61117056
WA
Other
Enumeration date
12/16/2019
Last updated
02/20/2025
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