Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODY ELIJAH WISSENBACH, P.A.
ActiveCODY ELIJAH WISSENBACH, P.A. is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1841468410 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1841468410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2008 (18.468032794158 yrs)
- Last Updated
- Nov 14, 2023
- Licenses
-
PA1091 (NV)PA-2289 (ID)PA60720417 (WA)
Practice Information
- Address
-
999 N CURTIS RD STE 415BOISE, ID, 837061334Browse ID providers · Browse ZIP 83706
- Phone
- 2083022600
- Fax
- 2083022625
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- 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.