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

MELISA RANDALL, PA

Active

MELISA RANDALL, PA is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1427782549 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BOISE, ID

Registration Details

NPI Number
1427782549
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2022 (4.100225529864 yrs)
Last Updated
Oct 11, 2022
Licenses
583626 (ID)
PA-2359 (ID)

Practice Information

Address
222 N 2ND ST STE 204
BOISE, ID, 837026130
Browse ID providers · Browse ZIP 83702
Phone
2084299100
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in BOISE, ID

Name Credential NPI
MS. YELENA SHUEY PA-C 1124029939
JEFFREY D SMITH PA C 1013905793
CHADWICK ALDEN FISHER PA 1497744338
RACHEL KING PA 1205826245
DARRELL L KING PA 1770573644
THOMAS F DOUTHIT PA-C 1023008414
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.