Individual
CHELSEA DYLAN TENNENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
376 S LATAH ST, BOISE, ID 83705-1539
(208) 579-5767
(208) 579-5766
Mailing address
1666 E GENTLEWIND ST, BOISE, ID 83706-5914
(208) 830-5018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
GPA-068
ID
Other
Enumeration date
10/05/2020
Last updated
12/26/2025
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