Individual
MICHELLE DENISE COLE-RICCARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 N CURTIS RD STE 300, BOISE, ID 83706-1348
(208) 302-3100
(208) 302-3155
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
5071591
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
07/29/2026
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