IndividualActive
Mikayla Taugher, PA-C
NPI 1336747120 · Surgical Physician Assistant · Meridian, ID
Provider details
- NPI number
- 1336747120
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- M-9901 (ID)
Mailing address
1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Registry dates
- Enumerated
- 2020-10-13
- Last updated
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.