IndividualActive
Anne Peterson
NPI 1447688312 · Surgical Physician Assistant · Meridian, ID
Provider details
- NPI number
- 1447688312
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA112 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3399 E Louise Dr
Ste 400
Meridian, ID 83642-5047
Phone: (208) 364-3000
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2013-10-31
- Last updated
- 2013-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.