NPI 1003869355

Claire Magnolo, PAC

Practitioner Surgical Physician Assistant Meridian, ID

Practice location

Address: 3399 E Louise Dr STE 400, Meridian, ID 83642-5212
Phone: (208) 706-4650
Fax: (208) 706-4651
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA-2530 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1003869355
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2006
Record last updated: 17 Dec 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.