Search › Idaho › 207R00000X
Andrea Axtell, MD
NPI 1922298678 · on the registry since 2007 · sole proprietor
Practice
- Address
- 323 E Riverside Dr Ste 224
Eagle, ID 83616 - Phone
- (208) 302-6000
- Fax
- (208) 302-6055
- Organisation at this address
- Mednow Inc
Cep America, Llc
Emp Idaho Nampa, Llc
Michael D Lahey Md Llc
Eagle Dermatology, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Additional practice sites
- 520 S Eagle Rd, Meridian, ID
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-18
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