Search › Idaho › 363A00000X
Katie Van Lier, PA-C
NPI 1801132980 · on the registry since 2012 · sole proprietor
Practice
- Address
- 10255 W Overland Rd
Boise, ID 83709 - Phone
- (208) 302-5600
- Fax
- (208) 302-5655
- Clinicians at this address
- 12
Additional practice sites
- 7121 Spid Dr, Corpus Christi, TX
- 701 E Parkcenter Blvd, Boise, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- TX, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-15
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