Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL ROBERT NIERAETH, PA
ActiveMR. MICHAEL ROBERT NIERAETH, PA is a Surgical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1487904280 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1487904280
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2012 (13.913493898887 yrs)
- Last Updated
- Mar 25, 2019
- License
-
PA-993 (ID)
Practice Information
- Address
-
8854 W EMERALD ST STE 102BOISE, ID, 83704Browse ID providers · Browse ZIP 83704
- Phone
- 2083234747
- Fax
- 2083234848
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL WINSCHEL | PA | 1508843038 |
| MRS. ALICIA R BORST | P.A.C. | 1780641530 |
| ROBERT JAMES BUZZINI | P.A. | 1497703730 |
| SCOTT B BURNETT | PA-C | 1295787240 |
| NICOLE F PYLE | PA-C | 1821009788 |
| MR. MARVIN CHARLES SPARRELL | MPAS PA-C | 1639181233 |
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.