Individual
MRS. TAWNI MICHELLE RISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 N 1ST ST STE 280, BOISE, ID 83702-6132
(208) 345-6545
Mailing address
333 N 1ST ST STE 280, BOISE, ID 83702-6132
(208) 345-6545
(208) 345-1213
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3171784
ID
Other
Enumeration date
08/07/2023
Last updated
10/31/2025
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