IndividualActive
Annie Campbell, PA
NPI 1154414902 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1154414902
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
Practice location
333 N 1st St
Suite 120
Boise, ID 83702-6100
Phone: (208) 381-7190
Fax: (208) 381-7191
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2017-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.