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Search › Idaho › 363A00000X

Krysta Carlson, PA-C

NPI 1740698356 · on the registry since 2014

Practice

Address
108 E Idaho Ave
Homedale, ID 83628
Phone
(208) 337-3189
Fax
(208) 466-5359
Organisation at this address
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Community Health Clinics, Inc.
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1000 Newbury Rd, Newbury Park, CA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-05

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