Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA D AXTELL, MD
Active Sole ProprietorANDREA D AXTELL, MD is a Internal Medicine healthcare provider located in EAGLE, Idaho. NPI 1922298678 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · EAGLE, ID
Registration Details
- NPI Number
- 1922298678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2007 (19.064812058538 yrs)
- Last Updated
- Feb 18, 2025
- Licenses
-
LL17364 (OR)M11047 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 E RIVERSIDE DR STE 224EAGLE, ID, 836166865Browse ID providers · Browse ZIP 83616
- Phone
- 2083026000
- Fax
- 2083026055
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. MARION LYNN LUQUE | M.D. | 1124088331 |
| KIMBERLY R TANABE | M.D. | 1194773598 |
| DR. ALLEN WONG | MD | 1508817214 |
| SUSANNE L STICKLER | MD | 1437198884 |
| JOEL C SWANSON | MD | 1013956705 |
| DR. STAN A EISELE | MD | 1306886767 |
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.