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

MS. NANETTE CORNISH FORD, PA C

Active

MS. NANETTE CORNISH FORD, PA C is a Physician Assistant healthcare provider located in KETCHUM, Idaho. NPI 1306055850 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KETCHUM, ID

Registration Details

NPI Number
1306055850
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.199695110804 yrs)
Last Updated
Jul 8, 2007
License
PA126 (ID)

Practice Information

Address
180 EAST AVENUE
KETCHUM, ID, 83340
Browse ID providers · Browse ZIP 83340
Phone
2087250900
Fax
2087250901
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KETCHUM, ID

Name Credential NPI
JILL K. ZELAYA PA-C 1790030518
ERIN R BARKER PA-C 1881246106
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.