Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY PETRIE, PA
Active Sole ProprietorCARLY PETRIE, PA is a Surgical Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1265158810 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MERIDIAN, ID
Registration Details
- NPI Number
- 1265158810
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2022 (3.8376816024739 yrs)
- Last Updated
- Nov 11, 2022
- License
-
PA-2393 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
520 S EAGLE RD STE 1241MERIDIAN, ID, 836426355Browse ID providers · Browse ZIP 83642
- Phone
- 2083816930
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| CLAIRE MAGNOLO | PA-C | 1003869355 |
| MR. WILLIAM B CURTIS | O.P.A.-C | 1093853871 |
| MRS. SHANNON L GARDINER | PA | 1689701260 |
| MR. TRACY D. MICKELSEN | CSFA | 1801073655 |
| TRACEY REEVE | PA-C | 1174789994 |
| DON H CURTIS | CSFA | 1982937066 |
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.