IndividualActive
Claire Magnolo, PA-C
NPI 1003869355 · Surgical Physician Assistant · Meridian, ID
Provider details
- NPI number
- 1003869355
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA-2530 (ID)
Practice location
3399 E Louise Dr Ste 400
Meridian, ID 83642-5212
Phone: (208) 706-4650
Fax: (208) 706-4651
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.