Individual
MICHELLE DENISE COLE-RICCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5500
(208) 381-2555
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5071591
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
01/12/2026
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