IndividualActive
Marilyn Aenchbacher
NPI 1639727787 · Surgical Physician Assistant · Coeur D Alene, ID
Provider details
- NPI number
- 1639727787
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA-2011 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487
Phone: (208) 625-5222
Fax: (208) 625-5223
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2019-09-02
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.