Search › Idaho › 363A00000X
Mariah Ollive, PA-C
NPI 1467134866 · on the registry since 2023
Practice
- Address
- 6165 W Emerald St
Boise, ID 83704 - Phone
- (208) 302-3900
- Fax
- (208) 302-3955
- Organisation at this address
- Saint Alphonsus Regional Medical Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Additional practice sites
- 3 Crest Rd, Saint Albans, VT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho