Misty Neisen

NPI #1023409265 in Boise, Idaho

Provider Information

NPI Number: 1023409265
Entity Type: Individual
Name: Misty Neisen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Feb 10, 2015
Last Updated: Mar 28, 2022

Practice Location

Address: 100 E IDAHO ST
City: Boise
State: Idaho
ZIP Code: 83712-6267
Phone: (208) 381-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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