IndividualActive
Kerriann Boanca, MD
NPI 1477181543 · Hospice and Palliative Medicine (Internal Medicine) Physician · Boise, ID
Provider details
- NPI number
- 1477181543
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 3271773 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
600 N Robbins Rd Ste 100
Boise, ID 83702-4539
Phone: (208) 381-1615
Fax: (208) 381-5141
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 5255 Loughboro Rd Nw Ste 1020Washington, DC 20016-2633Phone: (202) 537-4686Fax: (202) 537-4965
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.