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

MARLO PICHARDO, PAC

Active

MARLO PICHARDO, PAC is a Physician Assistant healthcare provider located in EAGLE, Idaho. NPI 1699842021 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EAGLE, ID

Registration Details

NPI Number
1699842021
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2006 (19.663025240956 yrs)
Last Updated
Feb 13, 2026
Licenses
PA9102903 (FL)
PA-1898 (ID)

Practice Information

Address
408 S EAGLE RD STE 205
EAGLE, ID, 836166079
Browse ID providers · Browse ZIP 83616
Phone
2087408797
Fax
5302370772
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EAGLE, ID

Name Credential NPI
JOHN DAVID MCDERMOTT P.A. 1689627069
JEFFERY L JOHNSON PA 1609887801
KELLEE J CROCKETT PA-C 1952441305
CARLY D HAMMER PA-C 1588840409
MRS. ERIN M RENAK PA-C, MPAP 1588826846
TALIA M SIERRA PA 1629228978
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.