IndividualActive
Molly Piccono, PA
NPI 1881739274 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1881739274
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA659 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6140 W Curtisian Ave
Suite 100
Boise, ID 83704-0109
Phone: (208) 367-7090
Fax: (208) 367-7092
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2007-02-21
- Last updated
- 2013-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.