Andrea Brooke Parsons, PA-C
Physician Assistant in Boise, ID. Individual provider (NPI-1).
NPI number1730445719
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1730445719
- Entity type
- Individual (NPI-1)
- Name
- Andrea Brooke Parsons
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2012
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2741 | WV | Yes |
| 363A00000X | Physician Assistant | PA9107216 | FL |
Practice location
8854 W Emerald St Ste 140Boise, ID 83704-4845
Phone 304-590-6490
Mailing address
Po Box 8941South Charleston, WV 25303-0941
Phone 304-590-6490
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