NPI 1003572041

Rebecca Haddad, PAC

Practitioner Physician Assistant Coeur D Alene, ID

Practice location

Address: 2426 N Merritt Creek Loop STE a, Coeur D Alene, ID 83814-4961
Phone: (208) 819-2183
Fax: (208) 209-6063
Mailing address: 12657 N Kenosha Ln APT J303, Rathdrum, ID 83858-7477

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2271971 (ID)

Other Physician Assistant providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA70037722 (WA)

Registry record

NPI: 1003572041
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2021
Record last updated: 2 Oct 2025

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.