Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ANGHARAD SUPE LYON, PA-C
ActiveMISS ANGHARAD SUPE LYON, PA-C is a Student (Health Education/Training) healthcare provider located in POCATELLO, Idaho. NPI 1164596128 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · POCATELLO, ID
Registration Details
- NPI Number
- 1164596128
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2006 (19.934547853518 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA-365 (ID)
Practice Information
- Address
-
ISU STUDENT HEALTH CTR921 S. 8TH ST.POCATELLO, ID, 832090001Browse 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.