NPI 1013952761

Sis E Ostolasa, PA

Practitioner Medical Physician Assistant Meridian, ID

Practice location

Address: 3025 W Cherry Lane STE B, Meridian, ID 83642
Phone: (208) 302-6450
Fax: (208) 302-6455
Mailing address: 3340 E Goldstone Way, Meridian, ID 83642

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA386 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1013952761
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2006
Record last updated: 15 Nov 2016

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.