Search › Idaho › 363AS0400X
Rilee Mickelsen, PA-C
NPI 1770346835 · on the registry since 2024
Practice
- Address
- 1072 N Liberty St Ste 201
Boise, ID 83704 - Phone
- (208) 302-2400
- Fax
- (208) 302-2455
- Organisation at this address
- Bryan J Anderson Md Pc
Shauna T Williams Md Pa
Treasure Valley Colon & Rectal Clinic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 81
Additional practice sites
- 111 S 11th St Ste 8290, Philadelphia, PA
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363AM0700X
363AS0400X - Licence states on file
- PA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-03
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