IndividualActive
Addie Barnes, PA-C
NPI 1447534821 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1447534821
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 4916 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 N Liberty
Ste 101
Boise, ID 83704
Phone: (208) 302-2200
Fax: (208) 302-2255
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
Registry dates
- Enumerated
- 2011-10-04
- Last updated
- 2018-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.