NPI 1003546276

Malinda Paige Westendorf

Practitioner Physician Assistant Mountain Home, ID

Practice location

Address: 465 McKenna Dr, Mountain Home, ID 83647-2143
Phone: (208) 587-9703
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-2379 (ID)

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003546276
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2022
Record last updated: 26 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.