SearchIdaho363A00000X

Johanna Golke, PA-C

NPI 1609399104 · on the registry since 2017

Practice

Address
2236 N Merritt Creek Loop Ste A
Coeur D Alene, ID 83814
Phone
(208) 625-3800
Fax
(208) 625-3801
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-06

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