IndividualActive
Felicia Berridge
NPI 1861101636 · Pediatric Surgery Physician · Boise, ID
Provider details
- NPI number
- 1861101636
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- $$$$$$$$$ (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2022-11-21
- Last updated
- 2022-11-21
- Certified
- 2022-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.