Individual
ANNELISE EILEEN ERPENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
(208) 381-4556
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04587
NC
363A00000X
Physician Assistant
Primary
PA-1740
ID
Other
Enumeration date
12/29/2010
Last updated
09/12/2025
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