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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS ANGHARAD SUPE LYON, PA-C

Active

Student (Health Education/Training) · POCATELLO, ID

Registration Details

NPI Number
1164596128
Provider Type
Individual
Gender
Female
NPI Issued
Nov 20, 2006 (19.417235938958 yrs)
Last Updated
Jul 8, 2007
License
PA-365 (ID)

Practice Information

Address
ISU STUDENT HEALTH CTR
921 S. 8TH ST.
POCATELLO, ID, 832090001
Browse ID providers · Browse ZIP 83209
Phone
2082822330
Fax
2082824036
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in POCATELLO, ID

Name Credential NPI
MS. VICTORIA ELEANOR RYAN PA-C 1003980210
JENNA MORCH 1134624794
CARSON PARKS 1124523782
BREANNA CARLOS 1124504337
BINDAL KIRANKUMAR MAKWANA 1467932061
KIMBERLY EVANS 1962969816
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.