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

JANENE CALDWELL WITHERITE, PA-C

Active

JANENE CALDWELL WITHERITE, PA-C is a General Practice healthcare provider located in VICTOR, Idaho. NPI 1508467051 is currently active in the NPPES registry. Verify at CMS.

General Practice · VICTOR, ID

Registration Details

NPI Number
1508467051
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2020 (5.7568008586159 yrs)
Last Updated
Nov 27, 2023
License
PA-1943 (ID)

Practice Information

Address
1077 STELLAR END RD
VICTOR, ID, 834554973
Browse ID providers · Browse ZIP 83455
Phone
3076904683
Primary Specialty
General Practice
208D00000X
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.