Individual
PENELOPE DARELL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5966 W CURTISIAN AVE, BOISE, ID 83704-8801
(208) 302-5480
(208) 302-5455
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MC-2512
ID
207RI0200X
Infectious Disease Physician
MD00042437
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308120
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8451163
—
WA
Enumeration date
10/27/2006
Last updated
12/21/2023
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