NPI 1427558154

Desiree Darlene Reid, PAC

Practitioner Physician Assistant Emmett, ID

Practice location

Address: 1102 E Locust St, Emmett, ID 83617-2713
Phone: (208) 365-6004
Mailing address: 1024 Eagle Hills Way, Eagle, ID 83616-5216

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-1597 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1427558154
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Feb 2018
Record last updated: 9 Apr 2018

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.