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Individual

MRS. ERIN S CARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6165 W EMERALD STREET, BOISE, ID 83706
(208) 377-0777
(208) 377-1070
Mailing address
5985 W STATE ST, BOISE, ID 83703-3039
(208) 853-0071
(208) 853-9422

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
928
ID
363A00000X
Physician Assistant
Primary
PA-928
ID
363AM0700X
Medical Physician Assistant
PA9102051
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902877624
ID
Enumeration date
01/30/2006
Last updated
01/13/2017
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