Search › Idaho › 363AM0700X
Travis Henman, PA-C
NPI 1871060681 · on the registry since 2018 · sole proprietor
Practice
- Address
- 6051 W Emerald St
Boise, ID 83704 - Phone
- (208) 302-5150
- Clinicians at this address
- 58
Additional practice sites
- 512 E Elm St, Caldwell, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-15
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