IndividualActive
Austen Cardoza, PA-C
NPI 1821766296 · Physician Assistant · Plummer, ID
Provider details
- NPI number
- 1821766296
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
427 N 12th St
Plummer, ID 83851
Phone: (208) 686-1931
Approximate (ZIP-level) locationGet directions
Mailing address
427 12th Street/ Po Box 388
Plummer, ID 83851
Registry dates
- Enumerated
- 2021-09-01
- Last updated
- 2024-04-26
- Certified
- 2021-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.