IndividualActive
Kristi Wayment, PA-C
NPI 1649396177 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1649396177
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA325 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
916 E. Wright St.
Boise, ID 83706
Phone: (208) 631-5257
Fax: (208) 433-1738
Approximate (ZIP-level) locationGet directions
Mailing address
3527 S. Federal Way
Boise, ID 83705
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2012-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.