IndividualActive
Peyton Farrall, PA-C
NPI 1861127680 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1861127680
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 6261174 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
222 N 2nd St Ste 215
Boise, ID 83702-6130
Phone: (208) 381-5500
Fax: (208) 381-2555
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Additional practice locations (1)
- 190 E Bannock St Fl 10Boise, ID 83712-6241Phone: (208) 381-5500
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.