SearchIdaho363AS0400X

Kristi Wayment, PA-C

NPI 1649396177 · on the registry since 2007 · sole proprietor

Practice

Address
916 E. Wright St.
Boise, ID 83706
Phone
(208) 631-5257
Fax
(208) 433-1738

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-04-13

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